Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $147.91	Facility		$102.33	$123.03	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $117.49 / $346.74	Professional		$44.67	$117.49	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $147.91	Professional		$45.71	$45.71	$147.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $154.88	Professional		$125.89	$141.25	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $186.21	Professional		$138.04	$147.91	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $186.21	Professional		$39.81	$87.10	$186.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $223.87	Professional		$107.15	$169.82	$223.87