Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $112.20	Facility		$77.62	$93.33	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $93.33	Professional		$51.29	$81.28	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $162.18	Professional		$112.20	$144.54	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $117.49	Professional		$95.50	$112.20	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $93.33 / $141.25	Professional		$33.11	$93.33	$141.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $218.78	Professional		$112.20	$138.04	$218.78