Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.45 / $117.45 / $117.45	Facility		$117.45	$117.45	$117.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $103.00 / $103.00	Professional		$87.73	$103.00	$103.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $151.28 / $151.28	Facility		$151.28	$151.28	$151.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $96.73 / $209.46	Professional		$96.73	$96.73	$209.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.42 / $199.39 / $199.39	Professional		$190.42	$199.39	$199.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.25 / $190.42 / $266.58	Professional		$114.25	$190.42	$266.58
United Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $151.28 / $209.46	Professional		$111.52	$151.28	$209.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $153.38 / $181.25	Professional		$83.28	$153.38	$181.25