Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $263.03	Professional		$75.86	$100.00	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $204.17	Professional		$95.50	$144.54	$204.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $177.83	Professional		$112.20	$138.04	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $134.90	Professional		$107.15	$117.49	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $141.25	Professional		$91.20	$120.23	$141.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $165.96	Professional		$85.11	$138.04	$165.96