Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.47 / $103.67 / $121.96	Facility		$91.47	$103.67	$121.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $63.14 / $63.14	Professional		$56.89	$63.14	$63.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $95.82 / $95.82	Facility		$95.82	$95.82	$95.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $103.67 / $193.04	Professional		$66.63	$103.67	$193.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $151.26 / $159.58	Professional		$38.72	$151.26	$159.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $108.41 / $126.48	Professional		$99.37	$108.41	$126.48
United Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $121.96 / $140.72	Professional		$84.81	$121.96	$140.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $132.69 / $208.61	Professional		$78.88	$132.69	$208.61