Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $82.47 / $105.84	Facility		$72.77	$82.47	$105.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Professional		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $105.84 / $105.84	Professional		$105.84	$105.84	$105.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $103.41 / $114.39	Professional		$88.20	$103.41	$114.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $105.84 / $123.48	Professional		$97.02	$105.84	$123.48
United Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $105.84 / $132.30	Professional		$88.20	$105.84	$132.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $129.65 / $198.45	Professional		$74.97	$129.65	$198.45