Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.80 / $196.80 / $447.91	Facility		$188.80	$196.80	$447.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $169.86 / $2,861.08	Professional		$84.93	$169.86	$2,861.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $131.22	Professional		$86.98	$86.98	$131.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $126.34 / $132.29	Professional		$126.34	$126.34	$132.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $116.65 / $121.51	Professional		$106.93	$116.65	$121.51
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $127.91 / $131.22	Professional		$85.27	$127.91	$131.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Professional		$119.70	$119.70	$119.70