Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $99.00 / $132.44	Facility		$82.50	$99.00	$132.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $137.32 / $517.00	Professional		$71.68	$137.32	$517.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $120.00 / $120.00	Professional		$59.48	$120.00	$120.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $113.00 / $137.50	Professional		$89.00	$113.00	$137.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.00 / $150.00	Professional		$100.00	$120.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $120.00 / $150.00	Professional		$42.00	$120.00	$150.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $125.00 / $225.00	Professional		$85.00	$125.00	$225.00