Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.57 / $226.18 / $290.27	Facility		$199.57	$226.18	$290.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $158.28 / $158.28	Professional		$158.28	$158.28	$158.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $290.27 / $290.27	Professional		$162.94	$290.27	$290.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $275.54 / $304.80	Professional		$229.80	$275.54	$304.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $290.27 / $338.66	Professional		$266.08	$290.27	$338.66
United Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $298.64 / $362.85	Professional		$290.27	$298.64	$362.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $355.59 / $544.28	Professional		$205.62	$355.59	$544.28