Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.03 / $123.64 / $143.10	Facility		$103.03	$123.64	$143.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $92.02 / $181.02	Professional		$60.78	$92.02	$181.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.66 / $251.66 / $251.66	Facility		$251.66	$251.66	$251.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $116.77 / $143.10	Professional		$81.30	$116.77	$143.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $130.33 / $165.71	Professional		$120.51	$130.33	$165.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $125.93 / $143.10	Professional		$114.48	$125.93	$143.10
United Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $127.62 / $148.88	Professional		$108.68	$127.62	$148.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.86 / $136.62 / $201.44	Professional		$101.86	$136.62	$201.44