Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $173.20 / $745.00	Professional		$123.81	$173.20	$745.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $169.18 / $316.30	Professional		$133.96	$169.18	$316.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.29 / $198.90 / $234.45	Professional		$173.29	$198.90	$234.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $161.58 / $188.51	Professional		$137.34	$161.58	$188.51
United Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $168.31 / $240.09	Professional		$125.33	$168.31	$240.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $325.70 / $474.87	Professional		$136.05	$325.70	$474.87