Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $117.49 / $138.04	Facility		$104.71	$117.49	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $109.65	Professional		$52.48	$69.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $186.21	Professional		$123.03	$134.90	$186.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $213.80	Professional		$169.82	$190.55	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $151.36	Professional		$120.23	$128.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $151.36	Professional		$74.13	$138.04	$151.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $251.19	Professional		$117.49	$154.88	$251.19