Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $153.30 / $196.75	Facility		$135.27	$153.30	$196.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $144.75 / $225.16	Professional		$101.24	$144.75	$225.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.75 / $196.75 / $196.75	Professional		$196.75	$196.75	$196.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $212.40 / $254.68 / $309.89	Professional		$212.40	$254.68	$309.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $196.75 / $229.54	Professional		$180.36	$196.75	$229.54
United Facility/Professional Professional Modifier Low / Median / High Price $196.75 / $223.69 / $318.27	Professional		$196.75	$223.69	$318.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $193.47 / $368.91	Professional		$139.37	$193.47	$368.91