Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $110.73 / $253.60	Professional		$61.24	$110.73	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $110.25 / $211.84	Professional		$68.86	$110.25	$211.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $131.29 / $157.30	Professional		$118.16	$131.29	$157.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $670.00 / $670.00	Professional		$670.00	$670.00	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $140.77 / $184.76	Professional		$91.57	$140.77	$184.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $189.64 / $361.26	Professional		$94.82	$189.64	$361.26