Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $189.92 / $202.55	Professional		$121.85	$189.92	$202.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $139.66 / $206.32	Professional		$104.20	$139.66	$206.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $191.30 / $207.32 / $260.04	Professional		$191.30	$207.32	$260.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.25 / $148.72 / $161.65	Professional		$142.25	$148.72	$161.65
United Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $161.65 / $210.68	Professional		$120.78	$161.65	$210.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.47 / $141.87 / $228.13	Professional		$94.47	$141.87	$228.13