Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $173.78	Facility		$120.23	$144.54	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $223.87	Professional		$107.15	$134.90	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $173.78	Professional		$102.33	$102.33	$173.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $281.84	Professional		$199.53	$257.04	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $218.78	Professional		$158.49	$173.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $281.84	Professional		$97.72	$173.78	$281.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $316.23	Professional		$117.49	$165.96	$316.23