Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $163.44 / $209.77	Facility		$144.22	$163.44	$209.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $6.98	Professional		$6.98	$6.98	$6.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $209.77 / $209.77	Professional		$95.41	$209.77	$209.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $199.33 / $242.55	Professional		$166.24	$199.33	$242.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $209.77 / $244.73	Professional		$192.29	$209.77	$244.73
United Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $262.22	Professional		$174.81	$209.77	$262.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $235.99 / $393.32	Professional		$148.59	$235.99	$393.32