Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $141.19 / $266.76	Facility		$117.67	$141.19	$266.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $146.36 / $195.87	Professional		$92.71	$146.36	$195.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.69 / $101.69 / $101.69	Professional		$101.69	$101.69	$101.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.69 / $256.30 / $298.64	Professional		$204.69	$256.30	$298.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $171.16 / $199.68	Professional		$156.88	$171.16	$199.68
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $171.16 / $249.03	Professional		$95.00	$171.16	$249.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $193.97 / $428.16	Professional		$142.63	$193.97	$428.16