Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $208.93	Facility		$144.54	$173.78	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $218.78	Professional		$95.50	$151.36	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $208.93	Professional		$91.20	$95.50	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $257.04	Professional		$181.97	$234.42	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $263.03	Professional		$194.98	$208.93	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $263.03	Professional		$87.10	$173.78	$263.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $398.11	Professional		$147.91	$257.04	$398.11