Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.82 / $420.84 / $420.84	Facility		$160.82	$420.84	$420.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $189.47 / $316.27	Professional		$82.57	$189.47	$316.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.81 / $160.81 / $160.81	Facility		$160.81	$160.81	$160.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $121.71 / $121.71 / $121.71	Professional		$121.71	$121.71	$121.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $99.09 / $115.61	Professional		$90.83	$99.09	$115.61
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $123.87	Professional		$82.58	$82.58	$123.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $96.44 / $105.48	Professional		$69.50	$96.44	$105.48