Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $140.56 / $180.40	Facility		$124.02	$140.56	$180.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $180.40 / $180.40	Professional		$180.40	$180.40	$180.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $169.87 / $187.91	Professional		$141.66	$169.87	$187.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $180.40 / $210.46	Professional		$165.36	$180.40	$210.46
United Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $180.40 / $225.50	Professional		$150.33	$180.40	$225.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $201.44 / $270.58	Professional		$127.78	$201.44	$270.58