Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $234.42	Facility		$158.49	$190.55	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $245.47	Professional		$107.15	$165.96	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $234.42	Professional		$102.33	$102.33	$234.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $257.04	Professional		$194.98	$229.09	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $288.40	Professional		$213.80	$234.42	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $288.40	Professional		$97.72	$199.53	$288.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $436.52	Professional		$165.96	$281.84	$436.52