Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.64 / $143.52 / $184.20	Facility		$126.64	$143.52	$184.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $158.52 / $175.00	Professional		$158.52	$158.52	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $184.20 / $184.20	Professional		$184.20	$184.20	$184.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $160.72 / $191.88	Professional		$136.62	$160.72	$191.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $184.20 / $230.25	Professional		$153.50	$184.20	$230.25
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $184.20 / $230.25	Professional		$64.47	$184.20	$230.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $191.88 / $276.30	Professional		$107.45	$191.88	$276.30