Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $163.44 / $209.77	Facility		$144.22	$163.44	$209.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $92.65 / $92.65	Professional		$92.65	$92.65	$92.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $209.77 / $209.77	Professional		$95.41	$209.77	$209.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $208.15 / $242.55	Professional		$176.40	$208.15	$242.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $209.77 / $244.73	Professional		$192.29	$209.77	$244.73
United Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $262.22	Professional		$174.81	$209.77	$262.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $256.97 / $393.32	Professional		$148.59	$256.97	$393.32