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 $113.20 / $113.20 / $113.20	Professional		$113.20	$113.20	$113.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $248.77 / $248.77	Professional		$248.77	$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 $248.77 / $282.83 / $402.42	Professional		$248.77	$282.83	$402.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $244.63 / $466.45	Professional		$151.63	$244.63	$466.45