Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $147.91	Facility		$100.00	$120.23	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $190.55	Professional		$81.28	$104.71	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $147.91	Professional		$77.62	$83.18	$147.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $239.88	Professional		$169.82	$213.80	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $181.97	Professional		$134.90	$147.91	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $181.97	Professional		$75.86	$147.91	$181.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $275.42	Professional		$104.71	$177.83	$275.42