Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $309.03	Facility		$213.80	$257.04	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $331.13	Professional		$141.25	$223.87	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $323.59	Professional		$263.03	$295.12	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $389.05	Professional		$288.40	$309.03	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $389.05	Professional		$109.65	$128.82	$389.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $588.84	Professional		$223.87	$380.19	$588.84