Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $288.40	Professional		$177.83	$208.93	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $501.19	Professional		$190.55	$239.88	$501.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $512.86	Professional		$223.87	$407.38	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $281.84	Professional		$204.17	$239.88	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $416.87	Professional		$199.53	$239.88	$416.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $6,025.60 / $23,442.29	Professional		$177.83	$6,025.60	$23,442.29