Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $174.54 / $610.00	Professional		$138.68	$174.54	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $183.28 / $270.45	Professional		$149.55	$183.28	$270.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $183.12 / $222.55	Professional		$164.85	$183.12	$222.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $175.94 / $205.27	Professional		$161.28	$175.94	$205.27
United Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $183.28 / $303.89	Professional		$142.38	$183.28	$303.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $193.26 / $210.22	Professional		$144.10	$193.26	$210.22