Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $65.64 / $84.24	Facility		$57.92	$65.64	$84.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $77.22 / $343.20	Professional		$70.20	$77.22	$343.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $47.31 / $47.31	Professional		$47.31	$47.31	$47.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $142.90 / $166.51	Professional		$114.13	$142.90	$166.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $84.24 / $98.28	Professional		$77.22	$84.24	$98.28
United Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $86.66 / $105.30	Professional		$84.24	$86.66	$105.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $116.12 / $160.32	Professional		$70.20	$116.12	$160.32