Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.03 / $128.10 / $164.40	Facility		$113.03	$128.10	$164.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $65.00 / $115.01	Professional		$45.00	$65.00	$115.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $164.40 / $164.40	Professional		$164.40	$164.40	$164.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $154.81 / $171.25	Professional		$129.11	$154.81	$171.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $164.40 / $191.80	Professional		$150.69	$164.40	$191.80
United Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $164.40 / $205.50	Professional		$137.00	$164.40	$205.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $171.25 / $246.60	Professional		$116.45	$171.25	$246.60