Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $121.53 / $142.97	Facility		$107.23	$121.53	$142.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $105.72 / $175.70	Professional		$88.39	$105.72	$175.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $111.84 / $111.84	Facility		$111.84	$111.84	$111.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $121.53 / $158.87	Professional		$112.01	$121.53	$158.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $153.11 / $167.35	Professional		$31.91	$153.11	$167.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $127.09 / $148.27	Professional		$116.50	$127.09	$148.27
United Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $142.97 / $191.28	Professional		$61.72	$142.97	$191.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $169.61 / $248.47	Professional		$111.72	$169.61	$248.47