Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $194.98	Facility		$117.49	$141.25	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $199.53	Professional		$72.44	$123.03	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $102.33	Professional		$91.20	$91.20	$102.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $309.03	Professional		$218.78	$281.84	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $213.80	Professional		$158.49	$169.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $177.83 / $251.19	Professional		$48.98	$177.83	$251.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $426.58	Professional		$141.25	$194.98	$426.58