Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $146.74 / $192.67	Professional		$146.74	$146.74	$192.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.47 / $249.47 / $249.47	Professional		$249.47	$249.47	$249.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $490.05 / $490.05	Professional		$468.00	$490.05	$490.05
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 $212.05 / $249.47 / $249.47	Professional		$212.05	$249.47	$249.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $280.86 / $280.86 / $280.86	Professional		$280.86	$280.86	$280.86