Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $245.47	Facility		$165.96	$199.53	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $257.04	Professional		$109.65	$173.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $245.47	Professional		$104.71	$109.65	$245.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $275.42	Professional		$204.17	$245.47	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $302.00	Professional		$223.87	$245.47	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $302.00	Professional		$102.33	$204.17	$302.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $457.09	Professional		$173.78	$295.12	$457.09