Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.65 / $191.14 / $224.87	Facility		$168.65	$191.14	$224.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $137.99 / $649.00	Professional		$113.09	$137.99	$649.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $175.22 / $175.22	Facility		$175.22	$175.22	$175.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $191.14 / $405.60	Professional		$95.19	$191.14	$405.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $94.98 / $252.37	Professional		$48.81	$94.98	$252.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $199.88 / $233.20	Professional		$183.23	$199.88	$233.20
United Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $224.87 / $276.08	Professional		$132.53	$224.87	$276.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $206.42 / $431.92	Professional		$105.98	$206.42	$431.92