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 $187.56 / $187.56 / $187.56	Professional		$187.56	$187.56	$187.56
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 / $353.88 / $499.73	Professional		$308.94	$353.88	$499.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.83 / $456.51 / $636.98	Professional		$218.83	$456.51	$636.98