Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $309.03	Facility		$229.09	$263.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $323.59	Professional		$147.91	$181.97	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $489.78	Professional		$141.25	$309.03	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $371.54	Professional		$309.03	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $316.23	Professional		$251.19	$275.42	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $389.05	Professional		$165.96	$239.88	$389.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $524.81	Professional		$199.53	$338.84	$524.81