Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $109.65 / $912.01	Facility		$33.88	$109.65	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $107.15 / $173.78	Professional		$38.02	$107.15	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $123.03 / $323.59	Professional		$43.65	$123.03	$323.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $281.84	Professional		$263.03	$275.42	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $147.91 / $186.21	Professional		$39.81	$147.91	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $114.82 / $190.55	Professional		$41.69	$114.82	$190.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $245.47	Professional		$38.02	$51.29	$245.47