Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.97 / $194.90 / $229.30	Facility		$171.97	$194.90	$229.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $229.30 / $594.01	Professional		$147.56	$229.30	$594.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.24 / $177.97 / $229.30	Professional		$130.24	$177.97	$229.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $202.84 / $243.22 / $269.05	Professional		$202.84	$243.22	$269.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.95 / $203.82 / $237.79	Professional		$174.95	$203.82	$237.79
United Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $229.30 / $269.45	Professional		$197.08	$229.30	$269.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $249.08 / $401.95	Professional		$172.80	$249.08	$401.95