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 $241.12 / $243.50 / $299.45	Professional		$241.12	$243.50	$299.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $261.67 / $261.67	Professional		$169.22	$261.67	$261.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $339.64 / $425.27 / $495.55	Professional		$339.64	$425.27	$495.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.87 / $261.67 / $305.27	Professional		$239.87	$261.67	$305.27
United Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $293.37 / $414.30	Professional		$261.67	$293.37	$414.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $272.58 / $490.64	Professional		$185.35	$272.58	$490.64