Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.81 / $201.51 / $237.07	Facility		$177.81	$201.51	$237.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $113.98 / $113.98	Professional		$113.98	$113.98	$113.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $185.66 / $185.66	Facility		$185.66	$185.66	$185.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $148.28 / $241.95	Professional		$120.97	$148.28	$241.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $106.10 / $266.22	Professional		$67.75	$106.10	$266.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $210.73 / $245.85	Professional		$193.17	$210.73	$245.85
United Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $237.07 / $274.10	Professional		$89.95	$237.07	$274.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.86 / $237.55 / $370.28	Professional		$162.86	$237.55	$370.28