Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $228.77 / $362.88	Facility		$133.36	$228.77	$362.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $163.19 / $204.00	Professional		$142.62	$163.19	$204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $85.59 / $85.59	Professional		$85.59	$85.59	$85.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $161.16 / $178.29	Professional		$134.41	$161.16	$178.29
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 $167.58 / $171.16 / $272.49	Professional		$167.58	$171.16	$272.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $249.60 / $263.87	Professional		$142.63	$249.60	$263.87