Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.00 / $262.94 / $309.33	Facility		$232.00	$262.94	$309.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $116.84 / $376.59	Professional		$116.84	$116.84	$376.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $230.25 / $309.22	Professional		$33.84	$230.25	$309.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $274.97 / $286.43	Professional		$252.05	$274.97	$286.43
United Facility/Professional Professional Modifier Low / Median / High Price $228.12 / $309.33 / $378.44	Professional		$228.12	$309.33	$378.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $330.50 / $597.29	Professional		$163.97	$330.50	$597.29