Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.98 / $189.24 / $242.88	Facility		$166.98	$189.24	$242.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $107.27 / $107.27	Professional		$107.27	$107.27	$107.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $242.88 / $242.88	Professional		$110.33	$242.88	$242.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $238.80 / $264.16	Professional		$202.40	$238.80	$264.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $242.88 / $283.36	Professional		$222.64	$242.88	$283.36
United Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $242.88 / $303.60	Professional		$202.40	$242.88	$303.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $297.52 / $455.40	Professional		$172.04	$297.52	$455.40