Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.33 / $154.33 / $154.33	Facility		$154.33	$154.33	$154.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $124.37 / $170.27	Professional		$99.05	$124.37	$170.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.80 / $164.33 / $243.31	Professional		$104.80	$164.33	$243.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $190.87 / $228.20	Professional		$148.59	$190.87	$228.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $160.00 / $184.55	Professional		$125.53	$160.00	$184.55
United Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $135.44 / $190.20	Professional		$79.50	$135.44	$190.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $126.30 / $170.88	Professional		$110.17	$126.30	$170.88