Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.03 / $102.04 / $130.96	Facility		$90.03	$102.04	$130.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $69.41 / $69.41	Professional		$69.41	$69.41	$69.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $130.96 / $130.96	Professional		$130.96	$130.96	$130.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $177.00 / $206.25	Professional		$150.00	$177.00	$206.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $130.96 / $152.78	Professional		$120.04	$130.96	$152.78
United Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $148.88 / $211.84	Professional		$130.96	$148.88	$211.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $147.33 / $245.54	Professional		$92.76	$147.33	$245.54