Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $107.86 / $138.43	Facility		$95.17	$107.86	$138.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $87.57	Professional		$87.57	$87.57	$87.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $138.43 / $138.43	Professional		$91.48	$138.43	$138.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $192.77 / $253.14	Professional		$163.85	$192.77	$253.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $138.43 / $173.04	Professional		$115.36	$138.43	$173.04
United Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $165.22 / $223.92	Professional		$138.43	$165.22	$223.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $221.39 / $292.19	Professional		$98.06	$221.39	$292.19