Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $204.17	Professional		$114.82	$134.90	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $204.17	Professional		$117.49	$147.91	$204.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $269.15	Professional		$190.55	$218.78	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $162.18	Professional		$144.54	$158.49	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $208.93	Professional		$123.03	$162.18	$208.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $229.09	Professional		$95.50	$141.25	$229.09