Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $116.75 / $149.84	Facility		$103.02	$116.75	$149.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $171.48 / $418.20	Professional		$102.63	$171.48	$418.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $149.84 / $149.84	Professional		$68.51	$149.84	$149.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $141.10 / $156.09	Professional		$117.68	$141.10	$156.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $149.84 / $174.82	Professional		$137.36	$149.84	$174.82
United Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $187.31 / $187.31	Professional		$149.84	$187.31	$187.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $183.56 / $305.93	Professional		$106.14	$183.56	$305.93