Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $186.21 / $354.81	Facility		$181.97	$186.21	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $218.78	Professional		$100.00	$131.83	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $181.97	Professional		$67.61	$112.20	$181.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $208.93	Professional		$128.82	$165.96	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $208.93	Professional		$123.03	$154.88	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $194.98	Professional		$93.33	$147.91	$194.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $177.83	Professional		$66.07	$114.82	$177.83