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 $228.64 / $228.64 / $228.64	Professional		$228.64	$228.64	$228.64
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 $87.26 / $184.52 / $217.08	Professional		$87.26	$184.52	$217.08
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 / $310.97 / $613.79	Professional		$248.77	$310.97	$613.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $279.87 / $466.45	Professional		$176.21	$279.87	$466.45