Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.36 / $95.61 / $122.71	Facility		$84.36	$95.61	$122.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $106.15 / $140.43	Professional		$6.04	$106.15	$140.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $122.71 / $122.71	Professional		$122.71	$122.71	$122.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $183.22 / $201.54 / $251.93	Professional		$183.22	$201.54	$251.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.49 / $122.71 / $143.16	Professional		$112.49	$122.71	$143.16
United Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $122.71 / $153.38	Professional		$102.26	$122.71	$153.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $201.54 / $329.80	Professional		$86.92	$201.54	$329.80