Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.04 / $115.64 / $148.41	Facility		$102.04	$115.64	$148.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $169.84	Professional		$99.82	$99.82	$169.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Professional		$148.41	$148.41	$148.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.60 / $233.75	Professional		$170.00	$200.60	$233.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $148.41 / $173.15	Professional		$136.05	$148.41	$173.15
United Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $168.73 / $240.08	Professional		$148.41	$168.73	$240.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $222.62 / $314.50	Professional		$105.13	$222.62	$314.50