Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $150.43 / $490.00	Professional		$102.63	$150.43	$490.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $159.36 / $283.32	Professional		$130.04	$159.36	$283.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $160.19 / $191.94	Professional		$144.18	$160.19	$191.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $152.99 / $165.74	Professional		$140.24	$152.99	$165.74
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $159.36 / $215.46	Professional		$132.43	$159.36	$215.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $155.77 / $264.95	Professional		$116.29	$155.77	$264.95