Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.69 / $133.37 / $199.07	Professional		$101.69	$133.37	$199.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $161.26 / $359.58	Professional		$126.67	$161.26	$359.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $183.01 / $210.46	Professional		$162.88	$183.01	$210.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $154.81 / $180.61	Professional		$136.75	$154.81	$180.61
United Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $157.79 / $214.88	Professional		$117.18	$157.79	$214.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $160.63 / $163.44	Professional		$119.77	$160.63	$163.44