Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.35 / $138.66 / $163.13	Facility		$122.35	$138.66	$163.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $81.33 / $81.33	Professional		$81.33	$81.33	$81.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $163.13 / $217.62	Professional		$129.66	$163.13	$217.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $190.99 / $276.08	Professional		$119.83	$190.99	$276.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.47 / $145.01 / $169.18	Professional		$124.47	$145.01	$169.18
United Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $199.56 / $224.68	Professional		$163.13	$199.56	$224.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $211.55 / $351.42	Professional		$153.31	$211.55	$351.42