Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.37 / $182.60 / $741.00	Professional		$121.37	$182.60	$741.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $173.52 / $312.06	Professional		$132.06	$173.52	$312.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $209.87 / $240.89 / $283.95	Professional		$209.87	$240.89	$283.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $159.54 / $186.13	Professional		$135.61	$159.54	$186.13
United Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $166.19 / $240.62	Professional		$130.57	$166.19	$240.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $332.22 / $467.25	Professional		$131.55	$332.22	$467.25