Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $125.89	Facility		$75.86	$91.20	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $141.25	Professional		$67.61	$87.10	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $109.65	Professional		$64.57	$64.57	$109.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $177.83	Professional		$125.89	$162.18	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $138.04	Professional		$100.00	$109.65	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $177.83	Professional		$63.10	$109.65	$177.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $223.87	Professional		$77.62	$123.03	$223.87