Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.40 / $179.52 / $230.40	Facility		$158.40	$179.52	$230.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $44.35 / $44.35	Professional		$44.35	$44.35	$44.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $230.40 / $230.40	Professional		$45.74	$230.40	$230.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $216.96 / $240.00	Professional		$180.95	$216.96	$240.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $230.40 / $268.80	Professional		$211.20	$230.40	$268.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $230.40 / $288.00	Professional		$83.67	$230.40	$288.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $259.20 / $432.00	Professional		$163.19	$259.20	$432.00