Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $204.17 / $251.19	Facility		$169.82	$204.17	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $263.03	Professional		$112.20	$177.83	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $251.19	Professional		$109.65	$117.49	$251.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $407.38	Professional		$281.84	$363.08	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $309.03	Professional		$229.09	$251.19	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $309.03	Professional		$104.71	$208.93	$309.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $467.74	Professional		$177.83	$281.84	$467.74