Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $79.56 / $102.12	Facility		$70.20	$79.56	$102.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $77.15 / $116.86	Professional		$74.16	$77.15	$116.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $102.12 / $102.12	Professional		$67.53	$102.12	$102.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $173.28 / $201.93	Professional		$138.38	$173.28	$201.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $102.12 / $119.14	Professional		$93.61	$102.12	$119.14
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $102.12 / $165.19	Professional		$95.00	$102.12	$165.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $153.37 / $214.00	Professional		$95.31	$153.37	$214.00