Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $155.38 / $182.80	Facility		$133.01	$155.38	$182.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $105.62 / $395.25	Professional		$89.12	$105.62	$395.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $140.24 / $140.24	Facility		$140.24	$140.24	$140.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $167.22 / $361.48	Professional		$102.18	$167.22	$361.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $111.10 / $192.97	Professional		$42.86	$111.10	$192.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $162.49 / $189.57	Professional		$148.94	$162.49	$189.57
United Facility/Professional Professional Modifier Low / Median / High Price $137.10 / $182.80 / $244.20	Professional		$137.10	$182.80	$244.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $176.10 / $253.64	Professional		$111.94	$176.10	$253.64