Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $208.93	Facility		$144.54	$173.78	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $257.04	Professional		$89.13	$158.49	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $208.93	Professional		$117.49	$131.83	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $407.38	Professional		$288.40	$323.59	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $263.03	Professional		$190.55	$208.93	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $323.59	Professional		$138.04	$208.93	$323.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $416.87	Professional		$194.98	$302.00	$416.87