Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.22 / $131.72 / $154.97	Facility		$116.22	$131.72	$154.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $90.43 / $189.51	Professional		$71.56	$90.43	$189.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.05 / $120.05 / $120.05	Facility		$120.05	$120.05	$120.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $107.53 / $167.14	Professional		$74.67	$107.53	$167.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $61.65 / $166.41	Professional		$39.15	$61.65	$166.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.27 / $137.75 / $160.71	Professional		$126.27	$137.75	$160.71
United Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $154.97 / $173.29	Professional		$56.60	$154.97	$173.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $155.46 / $246.54	Professional		$115.00	$155.46	$246.54