Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $229.09 / $269.15	Facility		$204.17	$229.09	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $281.84	Professional		$134.90	$165.96	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $436.52	Professional		$165.96	$269.15	$436.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $323.59	Professional		$269.15	$323.59	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $281.84	Professional		$218.78	$239.88	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $346.74	Professional		$151.36	$239.88	$346.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $478.63	Professional		$213.80	$302.00	$478.63