Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $93.33	Facility		$64.57	$77.62	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $75.86	Professional		$57.54	$72.44	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Professional		$69.18	$69.18	$93.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $190.55	Professional		$134.90	$173.78	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $117.49	Professional		$77.62	$93.33	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $109.65 / $151.36	Professional		$33.11	$109.65	$151.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $194.98	Professional		$87.10	$141.25	$194.98