Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $162.18	Facility		$112.20	$134.90	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $131.83	Professional		$100.00	$114.82	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $162.18	Professional		$107.15	$107.15	$162.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $186.21	Professional		$134.90	$169.82	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $204.17	Professional		$134.90	$162.18	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $162.18 / $263.03	Professional		$57.54	$162.18	$263.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $309.03	Professional		$131.83	$199.53	$309.03