Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.35 / $222.53 / $285.60	Facility		$196.35	$222.53	$285.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.60 / $285.60 / $285.60	Professional		$285.60	$285.60	$285.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $223.99 / $249.21	Professional		$179.19	$223.99	$249.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $285.60 / $333.20	Professional		$261.80	$285.60	$333.20
United Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $285.60 / $357.00	Professional		$161.68	$285.60	$357.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.30 / $349.86 / $676.90	Professional		$202.30	$349.86	$676.90