Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.03 / $193.83 / $248.77	Facility		$171.03	$193.83	$248.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Professional		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $248.77 / $248.77	Professional		$116.61	$248.77	$248.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $284.97 / $336.26 / $391.84	Professional		$284.97	$336.26	$391.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $248.77 / $290.23	Professional		$228.04	$248.77	$290.23
United Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $248.77 / $310.97	Professional		$207.31	$248.77	$310.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $277.80 / $466.45	Professional		$176.21	$277.80	$466.45