Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $88.82 / $113.99	Facility		$78.37	$88.82	$113.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $6.43	Professional		$6.43	$6.43	$6.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $113.99 / $113.99	Professional		$113.99	$113.99	$113.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $145.56 / $169.63	Professional		$123.36	$145.56	$169.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $113.99 / $132.99	Professional		$104.49	$113.99	$132.99
United Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $113.99 / $142.49	Professional		$94.99	$113.99	$142.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $139.63 / $213.73	Professional		$80.73	$139.63	$213.73