Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $295.12	Facility		$204.17	$245.47	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $309.03	Professional		$134.90	$213.80	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $295.12	Professional		$128.82	$128.82	$295.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $354.81	Professional		$251.19	$323.59	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $371.54	Professional		$269.15	$295.12	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $371.54	Professional		$123.03	$245.47	$371.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $549.54	Professional		$208.93	$363.08	$549.54