Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $114.78 / $263.08	Professional		$64.95	$114.78	$263.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $150.41 / $234.56	Professional		$79.45	$150.41	$234.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.60 / $188.31 / $222.21	Professional		$167.60	$188.31	$222.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $165.17 / $200.45	Professional		$71.73	$165.17	$200.45
United Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $200.45 / $249.42	Professional		$137.50	$200.45	$249.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.16 / $80.73 / $155.53	Professional		$59.16	$80.73	$155.53