Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $223.87	Facility		$151.36	$181.97	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $316.23	Professional		$100.00	$173.78	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $223.87	Professional		$97.72	$104.71	$223.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $229.09	Professional		$186.21	$218.78	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $275.42	Professional		$204.17	$223.87	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $275.42	Professional		$93.33	$186.21	$275.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $338.84	Professional		$204.17	$269.15	$338.84