Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.52 / $245.39 / $288.70	Facility		$216.52	$245.39	$288.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.17 / $228.17 / $228.17	Facility		$228.17	$228.17	$228.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $255.67 / $320.77	Professional		$243.50	$255.67	$320.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $245.66 / $317.30	Professional		$104.01	$245.66	$317.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.24 / $256.62 / $299.39	Professional		$235.24	$256.62	$299.39
United Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $288.70 / $383.54	Professional		$126.64	$288.70	$383.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $264.88 / $332.40 / $613.00	Professional		$264.88	$332.40	$613.00