Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.95 / $752.25 / $1,098.20	Facility		$228.95	$752.25	$1,098.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $101.79 / $131.56	Professional		$71.84	$101.79	$131.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $67.53 / $67.53	Professional		$67.53	$67.53	$67.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $171.81 / $200.20	Professional		$137.21	$171.81	$200.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $114.96 / $134.12	Professional		$105.38	$114.96	$134.12
United Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $119.75 / $165.19	Professional		$114.96	$119.75	$165.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $160.47 / $209.56	Professional		$149.69	$160.47	$209.56