Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $162.18	Facility		$21.38	$21.38	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $123.03 / $245.47	Professional		$20.89	$123.03	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $165.96 / $389.05	Professional		$25.70	$165.96	$389.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $389.05	Professional		$257.04	$295.12	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $173.78 / $223.87	Professional		$19.50	$173.78	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $154.88 / $275.42	Professional		$22.39	$154.88	$275.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $194.98 / $467.74	Professional		$22.39	$194.98	$467.74