Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $135.21 / $173.53	Facility		$119.30	$135.21	$173.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $96.45 / $96.45	Professional		$96.45	$96.45	$96.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $173.53 / $173.53	Professional		$98.94	$173.53	$173.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $253.76 / $295.70	Professional		$215.05	$253.76	$295.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $173.53 / $202.45	Professional		$159.07	$173.53	$202.45
United Facility/Professional Professional Modifier Low / Median / High Price $173.53 / $216.92 / $241.95	Professional		$173.53	$216.92	$241.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $224.64 / $322.16	Professional		$161.96	$224.64	$322.16