Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $127.01 / $696.92	Facility		$105.84	$127.01	$696.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $92.53 / $92.53	Professional		$92.53	$92.53	$92.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $153.94 / $153.94	Professional		$95.80	$153.94	$153.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.69 / $256.30 / $298.64	Professional		$204.69	$256.30	$298.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $153.94 / $179.61	Professional		$141.12	$153.94	$179.61
United Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $174.58 / $249.03	Professional		$153.94	$174.58	$249.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $188.59 / $428.16	Professional		$109.05	$188.59	$428.16