Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $95.17 / $110.15	Facility		$79.31	$95.17	$110.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $100.29 / $140.40	Professional		$77.38	$100.29	$140.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $193.85	Facility		$109.65	$109.65	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $96.40 / $110.15	Professional		$76.09	$96.40	$110.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $44.47 / $114.66	Professional		$37.65	$44.47	$114.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $101.34 / $110.15	Professional		$96.93	$101.34	$110.15
United Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $110.15 / $142.22	Professional		$82.81	$110.15	$142.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $95.54 / $155.44	Professional		$27.45	$95.54	$155.44