Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $49.49 / $49.49	Facility		$49.49	$49.49	$49.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $146.63 / $242.44	Professional		$98.40	$146.63	$242.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $166.21 / $255.86	Professional		$108.00	$166.21	$255.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $177.08 / $212.16	Professional		$159.37	$177.08	$212.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $670.00 / $670.00	Professional		$670.00	$670.00	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $193.08 / $246.50	Professional		$127.72	$193.08	$246.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $189.64 / $361.26	Professional		$94.82	$189.64	$361.26