Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $104.39 / $122.81	Facility		$92.11	$104.39	$122.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $102.68 / $548.00	Professional		$84.46	$102.68	$548.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $97.68 / $97.68	Facility		$97.68	$97.68	$97.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.01 / $117.19 / $219.26	Professional		$69.01	$117.19	$219.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $88.76 / $131.13	Professional		$56.45	$88.76	$131.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $109.16 / $127.36	Professional		$100.07	$109.16	$127.36
United Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $122.81 / $151.46	Professional		$92.11	$122.81	$151.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.03 / $145.10 / $256.23	Professional		$103.03	$145.10	$256.23