Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $243.84 / $312.95	Facility		$215.15	$243.84	$312.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.56 / $188.56 / $188.56	Professional		$188.56	$188.56	$188.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $312.95 / $312.95	Professional		$312.95	$312.95	$312.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $358.47 / $422.99 / $492.90	Professional		$358.47	$422.99	$492.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $312.95 / $365.11	Professional		$286.87	$312.95	$365.11
United Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $355.78 / $506.22	Professional		$312.95	$355.78	$506.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $307.73 / $586.78	Professional		$193.14	$307.73	$586.78