Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $145.50 / $374.70	Professional		$99.48	$145.50	$374.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.21 / $180.66 / $275.91	Professional		$118.21	$180.66	$275.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $192.37 / $230.47	Professional		$173.13	$192.37	$230.47
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 $146.32 / $211.05 / $267.95	Professional		$146.32	$211.05	$267.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $189.64 / $381.00	Professional		$94.82	$189.64	$381.00