Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.40 / $240.72 / $308.94	Facility		$212.40	$240.72	$308.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.22 / $199.22 / $199.22	Professional		$199.22	$199.22	$199.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $308.94 / $308.94	Professional		$204.17	$308.94	$308.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $418.62 / $524.16 / $610.78	Professional		$418.62	$524.16	$610.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $308.94 / $360.43	Professional		$283.20	$308.94	$360.43
United Facility/Professional Professional Modifier Low / Median / High Price $308.94 / $359.69 / $499.73	Professional		$308.94	$359.69	$499.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $467.60 / $647.44	Professional		$288.33	$467.60	$647.44