Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.10 / $287.98 / $369.60	Facility		$254.10	$287.98	$369.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Professional		$163.24	$163.24	$163.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $369.60 / $369.60	Professional		$173.34	$369.60	$369.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $201.94 / $274.13 / $322.51	Professional		$201.94	$274.13	$322.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.80 / $369.60 / $431.20	Professional		$338.80	$369.60	$431.20
United Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $369.60 / $462.00	Professional		$308.00	$369.60	$462.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $415.80 / $693.00	Professional		$261.80	$415.80	$693.00