Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $169.82	Facility		$117.49	$141.25	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $177.83	Professional		$95.50	$114.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $169.82	Professional		$75.86	$79.43	$169.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $309.03	Professional		$218.78	$281.84	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $213.80	Professional		$158.49	$169.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $213.80	Professional		$70.79	$141.25	$213.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $263.03	Professional		$169.82	$223.87	$263.03