Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $97.79 / $115.05	Facility		$86.29	$97.79	$115.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $37.60 / $180.00	Professional		$25.14	$37.60	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $115.05 / $115.05	Professional		$29.36	$115.05	$115.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $111.10 / $125.81	Professional		$38.47	$111.10	$125.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $102.26 / $119.31	Professional		$93.74	$102.26	$119.31
United Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $115.05 / $127.34	Professional		$90.78	$115.05	$127.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $115.11 / $167.22	Professional		$42.44	$115.11	$167.22