Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.41 / $100.20 / $117.88	Facility		$88.41	$100.20	$117.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $58.17 / $58.17	Professional		$58.17	$58.17	$58.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $92.46 / $92.46	Facility		$92.46	$92.46	$92.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $115.20 / $141.29	Professional		$92.64	$115.20	$141.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $140.69 / $153.11	Professional		$31.70	$140.69	$153.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $104.78 / $122.25	Professional		$96.05	$104.78	$122.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $117.88 / $136.69	Professional		$44.70	$117.88	$136.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $154.80 / $222.48	Professional		$83.95	$154.80	$222.48