Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $309.03	Facility		$208.93	$251.19	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $323.59	Professional		$141.25	$218.78	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $331.13	Professional		$263.03	$269.15	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $380.19	Professional		$281.84	$309.03	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $380.19	Professional		$97.72	$213.80	$380.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $575.44	Professional		$288.40	$371.54	$575.44