Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $238.80	Professional		$217.09	$217.09	$238.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $257.70	Professional		$217.09	$217.09	$257.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $267.38 / $267.38 / $267.38	Professional		$267.38	$267.38	$267.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $260.51 / $325.63	Professional		$217.09	$260.51	$325.63
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $229.68 / $325.64	Professional		$217.09	$229.68	$325.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $252.81 / $277.04	Professional		$198.86	$252.81	$277.04