Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $93.95 / $189.08	Professional		$64.75	$93.95	$189.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $115.03 / $221.78	Professional		$78.08	$115.03	$221.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $138.27 / $164.14	Professional		$124.44	$138.27	$164.14
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 $102.56 / $147.96 / $193.83	Professional		$102.56	$147.96	$193.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $189.64 / $361.26	Professional		$94.82	$189.64	$361.26