Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $139.69 / $139.69	Facility		$139.69	$139.69	$139.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.71 / $85.28	Professional		$62.10	$62.71	$85.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $79.77	Professional		$62.10	$62.10	$79.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $84.94 / $100.23	Professional		$84.94	$84.94	$100.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $74.52 / $93.15	Professional		$62.10	$74.52	$93.15
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $65.83 / $93.15	Professional		$62.10	$65.83	$93.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $81.13 / $90.19	Professional		$64.58	$81.13	$90.19