Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $199.53	Facility		$138.04	$162.18	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $208.93	Professional		$89.13	$141.25	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $199.53	Professional		$87.10	$87.10	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $239.88	Professional		$165.96	$213.80	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $245.47	Professional		$181.97	$199.53	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $245.47	Professional		$83.18	$165.96	$245.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $371.54	Professional		$141.25	$199.53	$371.54