Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.36 / $195.34 / $250.70	Facility		$172.36	$195.34	$250.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $286.89 / $294.26	Professional		$200.27	$286.89	$294.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.70 / $250.70 / $250.70	Professional		$250.70	$250.70	$250.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $287.17 / $338.86 / $394.86	Professional		$287.17	$338.86	$394.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $250.70 / $292.49	Professional		$229.81	$250.70	$292.49
United Facility/Professional Professional Modifier Low / Median / High Price $250.70 / $285.02 / $405.54	Professional		$250.70	$285.02	$405.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $246.53 / $470.07	Professional		$162.93	$246.53	$470.07