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 $134.01 / $134.01 / $134.01	Professional		$134.01	$134.01	$134.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $207.80 / $207.80	Professional		$137.41	$207.80	$207.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $298.80 / $352.58 / $410.85	Professional		$298.80	$352.58	$410.85
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 / $259.76 / $336.16	Professional		$207.80	$259.76	$336.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.95 / $312.13 / $435.53	Professional		$193.95	$312.13	$435.53