Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $120.36 / $154.47	Facility		$106.20	$120.36	$154.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $135.30 / $135.30	Professional		$135.30	$135.30	$135.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $154.47 / $154.47	Professional		$102.08	$154.47	$154.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $209.31 / $262.08 / $305.39	Professional		$209.31	$262.08	$305.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $154.47 / $180.22	Professional		$141.60	$154.47	$180.22
United Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $193.10 / $193.10	Professional		$154.47	$193.10	$193.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $189.23 / $289.64	Professional		$109.42	$189.23	$289.64