Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $151.66 / $265.64	Professional		$94.64	$151.66	$265.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $139.31 / $170.73	Professional		$109.51	$139.31	$170.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $182.19 / $235.95	Professional		$164.70	$182.19	$235.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $163.90 / $191.21	Professional		$136.58	$163.90	$191.21
United Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $170.73 / $246.21	Professional		$152.74	$170.73	$246.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $146.44 / $154.50	Professional		$146.44	$146.44	$154.50