Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $141.25 / $165.96	Facility		$125.89	$141.25	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $169.82	Professional		$74.13	$112.20	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $199.53	Professional		$87.10	$114.82	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $204.17	Professional		$144.54	$181.97	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $173.78	Professional		$134.90	$147.91	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $229.09	Professional		$128.82	$138.04	$229.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $223.87	Professional		$120.23	$181.97	$223.87