Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $162.77 / $193.26	Professional		$162.77	$162.77	$193.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $168.88 / $168.88	Professional		$168.88	$168.88	$168.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $216.15 / $242.85 / $254.29	Professional		$216.15	$242.85	$254.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.80 / $168.88 / $197.02	Professional		$154.80	$168.88	$197.02
United Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $211.10 / $273.17	Professional		$168.88	$211.10	$273.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $253.65 / $353.93	Professional		$157.62	$253.65	$353.93