Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $97.50 / $130.00	Professional		$77.66	$97.50	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $93.00 / $152.91	Professional		$70.01	$93.00	$152.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $151.43 / $166.58	Professional		$113.56	$151.43	$166.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $114.95 / $142.77	Professional		$85.67	$114.95	$142.77
United Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $105.92 / $162.83	Professional		$91.77	$105.92	$162.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $92.27 / $182.91	Professional		$91.91	$92.27	$182.91