Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.99 / $140.52 / $180.35	Facility		$123.99	$140.52	$180.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $173.81 / $206.39	Professional		$143.00	$173.81	$206.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $180.35 / $180.35	Professional		$119.16	$180.35	$180.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $259.30 / $305.97 / $356.54	Professional		$259.30	$305.97	$356.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $180.35 / $210.41	Professional		$165.32	$180.35	$210.41
United Facility/Professional Professional Modifier Low / Median / High Price $180.35 / $225.44 / $291.74	Professional		$180.35	$225.44	$291.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $270.86 / $377.95	Professional		$168.32	$270.86	$377.95