Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $138.04	Facility		$61.66	$61.66	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $257.04	Professional		$72.44	$147.91	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $346.74	Professional		$83.18	$190.55	$346.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $229.09	Professional		$120.23	$162.18	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $218.78	Professional		$72.44	$173.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $269.15	Professional		$79.43	$173.78	$269.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $169.82 / $389.05	Professional		$70.79	$169.82	$389.05