Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $133.36 / $171.16	Facility		$117.67	$133.36	$171.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $142.63 / $195.87	Professional		$74.17	$142.63	$195.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $85.59 / $85.59	Professional		$85.59	$85.59	$85.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $161.16 / $178.29	Professional		$134.41	$161.16	$178.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $171.16 / $199.68	Professional		$156.88	$171.16	$199.68
United Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $171.16 / $272.49	Professional		$167.58	$171.16	$272.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $191.12 / $263.87	Professional		$142.63	$191.12	$263.87