Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.90 / $203.89 / $261.67	Facility		$179.90	$203.89	$261.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $180.99 / $180.99	Professional		$180.99	$180.99	$180.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $261.67 / $261.67	Professional		$261.67	$261.67	$261.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $320.77 / $407.25 / $495.55	Professional		$320.77	$407.25	$495.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $261.67 / $327.08	Professional		$218.06	$261.67	$327.08
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $261.67 / $327.08	Professional		$91.59	$261.67	$327.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $294.38 / $490.64	Professional		$185.35	$294.38	$490.64