Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $173.78	Professional		$87.10	$114.82	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $245.47	Professional		$104.71	$134.90	$245.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $190.55	Professional		$123.03	$144.54	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $173.78	Professional		$117.49	$141.25	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $186.21	Professional		$93.33	$128.82	$186.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $251.19 / $338.84	Professional		$102.33	$251.19	$338.84