Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $154.88	Facility		$107.15	$128.82	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $204.17	Professional		$95.50	$117.49	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $154.88	Professional		$93.33	$102.33	$154.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $323.59	Professional		$223.87	$288.40	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $194.98	Professional		$144.54	$154.88	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $154.88 / $251.19	Professional		$57.54	$154.88	$251.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $316.23	Professional		$154.88	$204.17	$316.23