Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $109.54 / $148.96	Professional		$108.46	$109.54	$148.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $194.64	Professional		$108.47	$108.47	$194.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $198.63 / $198.63 / $198.63	Professional		$198.63	$198.63	$198.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $130.16 / $162.69	Professional		$108.47	$130.16	$162.69
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $114.98 / $163.26	Professional		$108.47	$114.98	$163.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $150.41 / $501.50	Professional		$102.24	$150.41	$501.50