Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $208.93	Facility		$141.25	$169.82	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $234.42	Professional		$109.65	$147.91	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $208.93	Professional		$104.71	$104.71	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $295.12	Professional		$204.17	$263.03	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $257.04	Professional		$190.55	$208.93	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $288.40	Professional		$102.33	$204.17	$288.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $389.05	Professional		$144.54	$213.80	$389.05