Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $218.78	Professional		$128.82	$204.17	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $269.15	Professional		$199.53	$245.47	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $229.09	Professional		$181.97	$194.98	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $275.42	Professional		$190.55	$204.17	$275.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $549.54	Professional		$223.87	$251.19	$549.54