Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $122.36 / $143.94	Facility		$107.96	$122.36	$143.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $99.94 / $176.41	Professional		$83.89	$99.94	$176.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.47 / $111.47 / $111.47	Facility		$111.47	$111.47	$111.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $123.05 / $260.66	Professional		$77.23	$123.05	$260.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $103.48 / $158.69	Professional		$35.26	$103.48	$158.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $127.96 / $149.28	Professional		$117.29	$127.96	$149.28
United Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $143.94 / $178.22	Professional		$107.19	$143.94	$178.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $154.44 / $238.97	Professional		$100.42	$154.44	$238.97