Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $112.20 / $144.00	Facility		$99.00	$112.20	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $141.60 / $161.81	Professional		$120.00	$141.60	$161.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $144.00 / $168.00	Professional		$132.00	$144.00	$168.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $144.00 / $180.00	Professional		$120.00	$144.00	$180.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $157.69 / $216.00	Professional		$102.00	$157.69	$216.00