Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $133.36 / $171.16	Facility		$117.67	$133.36	$171.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $117.23 / $195.87	Professional		$102.34	$117.23	$195.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $171.16 / $171.16	Professional		$80.29	$171.16	$171.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.69 / $256.30 / $298.64	Professional		$204.69	$256.30	$298.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $171.16 / $199.68	Professional		$156.88	$171.16	$199.68
United Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $213.95	Professional		$142.63	$171.16	$213.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $209.67 / $263.87	Professional		$121.24	$209.67	$263.87