Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $223.87	Facility		$165.96	$190.55	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $269.15	Professional		$125.89	$162.18	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $707.95	Professional		$169.82	$338.84	$707.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $912.01	Professional		$630.96	$831.76	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $229.09	Professional		$181.97	$199.53	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $501.19	Professional		$177.83	$263.03	$501.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $812.83	Professional		$208.93	$251.19	$812.83