Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.08 / $247.16 / $317.20	Facility		$218.08	$247.16	$317.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $136.77 / $136.77	Professional		$136.77	$136.77	$136.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $317.20 / $317.20	Professional		$140.16	$317.20	$317.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $304.95 / $359.84 / $419.31	Professional		$304.95	$359.84	$419.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $317.20 / $370.08	Professional		$290.77	$317.20	$370.08
United Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $319.43 / $396.51	Professional		$317.20	$319.43	$396.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $330.43 / $462.60	Professional		$250.32	$330.43	$462.60