Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $239.88	Professional		$114.82	$194.98	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $173.78	Professional		$89.13	$89.13	$173.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $229.09	Professional		$194.98	$218.78	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $199.53	Professional		$158.49	$173.78	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $245.47	Professional		$104.71	$173.78	$245.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $323.59	Professional		$162.18	$229.09	$323.59