Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.81 / $192.45 / $226.41	Facility		$169.81	$192.45	$226.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $115.62 / $115.62	Professional		$115.62	$115.62	$115.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $117.08 / $346.10	Professional		$117.08	$117.08	$346.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $225.85 / $248.35	Professional		$24.29	$225.85	$248.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $201.25 / $209.64	Professional		$184.48	$201.25	$209.64
United Facility/Professional Professional Modifier Low / Median / High Price $214.33 / $226.41 / $297.60	Professional		$214.33	$226.41	$297.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $257.92 / $469.78	Professional		$164.25	$257.92	$469.78