Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $193.98 / $248.95	Facility		$171.15	$193.98	$248.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.17 / $785.17 / $785.17	Professional		$785.17	$785.17	$785.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.95 / $248.95 / $248.95	Professional		$248.95	$248.95	$248.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $285.17 / $336.50 / $392.11	Professional		$285.17	$336.50	$392.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.21 / $248.95 / $290.44	Professional		$228.21	$248.95	$290.44
United Facility/Professional Professional Modifier Low / Median / High Price $248.95 / $283.02 / $402.71	Professional		$248.95	$283.02	$402.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $280.07 / $466.79	Professional		$176.34	$280.07	$466.79