Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $165.73 / $212.70	Facility		$146.22	$165.73	$212.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $142.49 / $142.49	Professional		$142.49	$142.49	$142.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $212.70 / $212.70	Professional		$212.70	$212.70	$212.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $229.61 / $275.31 / $335.00	Professional		$229.61	$275.31	$335.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $212.70 / $248.15	Professional		$194.98	$212.70	$248.15
United Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $241.81 / $344.07	Professional		$212.70	$241.81	$344.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $319.05 / $450.73	Professional		$150.66	$319.05	$450.73