Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $350.00 / $403.00	Professional		$43.30	$350.00	$403.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.55 / $279.92 / $404.46	Professional		$200.55	$279.92	$404.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $339.53 / $390.26 / $465.88	Professional		$339.53	$390.26	$465.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.02 / $323.57 / $377.50	Professional		$275.02	$323.57	$377.50
United Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $242.68 / $337.05	Professional		$40.35	$242.68	$337.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $49.88 / $545.24	Professional		$30.10	$49.88	$545.24