Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $257.04	Facility		$177.83	$213.80	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $269.15	Professional		$120.23	$181.97	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $257.04	Professional		$114.82	$114.82	$257.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $316.23	Professional		$218.78	$281.84	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $323.59	Professional		$234.42	$257.04	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $323.59	Professional		$109.65	$218.78	$323.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $478.63	Professional		$181.97	$269.15	$478.63