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 $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $222.24 / $222.24	Professional		$100.90	$222.24	$222.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $218.54 / $254.65	Professional		$185.20	$218.54	$254.65
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 / $250.02 / $416.70	Professional		$157.41	$250.02	$416.70