Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.54 / $203.47 / $239.38	Facility		$179.54	$203.47	$239.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $118.08 / $118.08	Professional		$118.08	$118.08	$118.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $112.61 / $281.00	Professional		$112.61	$112.61	$281.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $189.55 / $249.15	Professional		$26.89	$189.55	$249.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.05 / $212.78 / $221.65	Professional		$195.05	$212.78	$221.65
United Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $239.38 / $304.32	Professional		$187.23	$239.38	$304.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $263.74 / $413.82	Professional		$158.76	$263.74	$413.82