Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.59 / $155.93 / $183.45	Facility		$137.59	$155.93	$183.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $91.05 / $91.05	Professional		$91.05	$91.05	$91.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $143.54 / $143.54	Facility		$143.54	$143.54	$143.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.28 / $317.72 / $711.38	Professional		$159.28	$317.72	$711.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $711.50 / $916.30	Professional		$65.48	$711.50	$916.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $163.07 / $190.25	Professional		$149.47	$163.07	$190.25
United Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $183.45 / $235.73	Professional		$77.83	$183.45	$235.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $234.53 / $808.88	Professional		$168.32	$234.53	$808.88