Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $152.01 / $178.83	Facility		$134.13	$152.01	$178.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $182.02 / $186.59	Professional		$182.02	$182.02	$186.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $159.57	Facility		$159.57	$159.57	$159.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $198.71 / $552.29	Professional		$113.75	$198.71	$552.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $295.05 / $347.81	Professional		$48.76	$295.05	$347.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $158.96 / $185.46	Professional		$145.72	$158.96	$185.46
United Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $191.73 / $379.45	Professional		$152.01	$191.73	$379.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $337.28 / $500.31	Professional		$194.57	$337.28	$500.31