Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.61 / $281.76 / $361.62	Facility		$248.61	$281.76	$361.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $159.72 / $159.72	Professional		$159.72	$159.72	$159.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $361.62 / $361.62	Professional		$164.12	$361.62	$361.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $355.59 / $414.36	Professional		$301.35	$355.59	$414.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $361.62 / $421.89	Professional		$331.49	$361.62	$421.89
United Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $361.62 / $452.03	Professional		$301.35	$361.62	$452.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $406.82 / $678.04	Professional		$256.14	$406.82	$678.04