Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $295.12	Professional		$154.88	$194.98	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $331.13	Professional		$169.82	$229.09	$331.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $288.40	Professional		$131.83	$169.82	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $363.08	Professional		$263.03	$288.40	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $275.42	Professional		$177.83	$239.88	$275.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $302.00	Professional		$151.36	$208.93	$302.00