Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.82 / $262.82 / $262.82	Facility		$262.82	$262.82	$262.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $92.94 / $7,914.59	Professional		$89.34	$92.94	$7,914.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $73.33	Professional		$73.33	$73.33	$73.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $107.21 / $125.08	Professional		$98.28	$107.21	$125.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $99.45 / $134.01	Professional		$23.98	$99.45	$134.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $135.16 / $218.44	Professional		$25.77	$135.16	$218.44