Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $165.96	Facility		$112.20	$134.90	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $173.78	Professional		$74.13	$117.49	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $165.96	Professional		$70.79	$74.13	$165.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $194.98	Professional		$138.04	$177.83	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $204.17	Professional		$151.36	$165.96	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $204.17	Professional		$69.18	$138.04	$204.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $309.03	Professional		$117.49	$199.53	$309.03