Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $173.16 / $222.24	Facility		$152.79	$173.16	$222.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $152.22 / $254.33	Professional		$152.22	$152.22	$254.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $222.24 / $222.24	Professional		$104.24	$222.24	$222.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $174.54 / $209.28 / $231.50	Professional		$174.54	$209.28	$231.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.72 / $222.24 / $259.27	Professional		$203.72	$222.24	$259.27
United Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $277.80	Professional		$185.20	$222.24	$277.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $248.17 / $416.70	Professional		$157.41	$248.17	$416.70