Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.87 / $161.91 / $207.80	Facility		$142.87	$161.91	$207.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $115.20 / $115.20	Professional		$115.20	$115.20	$115.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $207.80 / $207.80	Professional		$117.98	$207.80	$207.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $232.81 / $271.29	Professional		$197.30	$232.81	$271.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $207.80 / $242.44	Professional		$190.49	$207.80	$242.44
United Facility/Professional Professional Modifier Low / Median / High Price $207.80 / $221.96 / $269.05	Professional		$207.80	$221.96	$269.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $214.07 / $374.15	Professional		$161.94	$214.07	$374.15