Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $137.18 / $173.60	Professional		$106.58	$137.18	$173.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $130.37 / $159.76	Professional		$115.76	$130.37	$159.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $161.41 / $189.80	Professional		$152.90	$161.41	$189.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $153.37 / $178.93	Professional		$130.37	$153.37	$178.93
United Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $159.76 / $213.36	Professional		$130.37	$159.76	$213.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $139.08 / $139.08	Professional		$139.08	$139.08	$139.08