Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $194.98	Facility		$144.54	$162.18	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $269.15	Professional		$120.23	$144.54	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $398.11	Professional		$114.82	$194.98	$398.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $302.00	Professional		$245.47	$302.00	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $204.17	Professional		$162.18	$177.83	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $323.59	Professional		$141.25	$190.55	$323.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $426.58	Professional		$162.18	$234.42	$426.58