Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $141.25	Professional		$93.33	$112.20	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $169.82	Professional		$128.82	$131.83	$169.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $147.91	Professional		$138.04	$144.54	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $162.18	Professional		$120.23	$128.82	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $138.04	Professional		$102.33	$131.83	$138.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $131.83	Professional		$81.28	$97.72	$131.83