Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $90.74 / $340.87	Facility		$75.62	$90.74	$340.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $98.05 / $125.87	Professional		$59.87	$98.05	$125.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $148.68 / $173.25	Professional		$126.00	$148.68	$173.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $109.99 / $128.32	Professional		$100.83	$109.99	$128.32
United Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $125.06 / $177.94	Professional		$109.99	$125.06	$177.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $114.58 / $224.55	Professional		$77.91	$114.58	$224.55