Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $117.49	Facility		$81.28	$97.72	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $95.50	Professional		$45.71	$75.86	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $117.49	Professional		$51.29	$51.29	$117.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $158.49	Professional		$112.20	$144.54	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $147.91	Professional		$97.72	$117.49	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $117.49 / $147.91	Professional		$41.69	$117.49	$147.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $213.80	Professional		$100.00	$151.36	$213.80