Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.83 / $114.28 / $146.66	Facility		$100.83	$114.28	$146.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $98.56 / $167.84	Professional		$98.56	$98.56	$167.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $146.66 / $146.66	Professional		$146.66	$146.66	$146.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $198.24 / $231.00	Professional		$168.00	$198.24	$231.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $146.66 / $171.11	Professional		$134.44	$146.66	$171.11
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $166.74 / $237.25	Professional		$146.66	$166.74	$237.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $222.87 / $310.80	Professional		$103.89	$222.87	$310.80