Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $177.27 / $177.27	Facility		$177.27	$177.27	$177.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $101.82 / $127.58	Professional		$72.45	$101.82	$127.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $177.27 / $177.27	Facility		$177.27	$177.27	$177.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $96.12 / $111.08	Professional		$64.38	$96.12	$111.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $124.57 / $176.44	Professional		$108.32	$124.57	$176.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $97.75 / $106.63	Professional		$79.34	$97.75	$106.63
United Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $111.08 / $141.63	Professional		$83.45	$111.08	$141.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $103.67 / $161.56	Professional		$64.79	$103.67	$161.56