Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.24 / $188.40 / $241.80	Facility		$166.24	$188.40	$241.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $276.70 / $283.81	Professional		$167.50	$276.70	$283.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $241.80 / $241.80	Professional		$241.80	$241.80	$241.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $276.98 / $326.83 / $380.85	Professional		$276.98	$326.83	$380.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $241.80 / $282.10	Professional		$221.65	$241.80	$282.10
United Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $274.89 / $391.13	Professional		$241.80	$274.89	$391.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $237.77 / $453.38	Professional		$162.93	$237.77	$453.38