Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $138.04 / $138.04	Facility		$134.90	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $251.19	Professional		$57.54	$89.13	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $102.33 / $131.83	Professional		$37.15	$102.33	$131.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $147.91	Professional		$107.15	$120.23	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $131.83	Professional		$104.71	$114.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $141.25	Professional		$69.18	$91.20	$141.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $257.04	Professional		$93.33	$128.82	$257.04