Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $426.58	Professional		$89.13	$131.83	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $186.21	Professional		$147.91	$158.49	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $173.78	Professional		$141.25	$158.49	$173.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $123.03	Professional		$104.71	$123.03	$123.03