Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.20 / $379.10 / $379.10	Facility		$101.20	$379.10	$379.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $105.04 / $177.67	Professional		$102.91	$105.04	$177.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.51 / $247.51 / $247.51	Facility		$247.51	$247.51	$247.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $114.69 / $140.55	Professional		$77.86	$114.69	$140.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $137.51 / $171.89	Professional		$125.00	$137.51	$171.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $123.68 / $140.55	Professional		$112.44	$123.68	$140.55
United Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $136.90 / $145.16	Professional		$106.74	$136.90	$145.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $136.72 / $198.78	Professional		$100.18	$136.72	$198.78