Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.16 / $88.58 / $113.69	Facility		$78.16	$88.58	$113.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $77.06 / $77.06	Professional		$77.06	$77.06	$77.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Professional		$113.69	$113.69	$113.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $148.91 / $173.53	Professional		$126.20	$148.91	$173.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $113.69 / $132.63	Professional		$104.21	$113.69	$132.63
United Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $125.25 / $178.21	Professional		$113.69	$125.25	$178.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $127.90 / $213.17	Professional		$80.53	$127.90	$213.17