Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.26 / $129.50 / $152.35	Facility		$114.26	$129.50	$152.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Professional		$80.45	$80.45	$80.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $120.42 / $120.42	Facility		$120.42	$120.42	$120.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $175.88 / $273.98	Professional		$111.16	$175.88	$273.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $277.63 / $314.45	Professional		$54.24	$277.63	$314.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.14 / $135.41 / $157.99	Professional		$124.14	$135.41	$157.99
United Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $152.35 / $188.33	Professional		$62.64	$152.35	$188.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $217.05 / $352.49	Professional		$139.13	$217.05	$352.49