Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.36 / $249.74 / $306.05	Facility		$220.36	$249.74	$306.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $161.36 / $161.36	Professional		$161.36	$161.36	$161.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $306.05 / $306.05	Professional		$173.25	$306.05	$306.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $254.65 / $350.42	Professional		$140.84	$254.65	$350.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $293.81 / $342.78	Professional		$269.32	$293.81	$342.78
United Facility/Professional Professional Modifier Low / Median / High Price $306.05 / $340.45 / $380.45	Professional		$306.05	$340.45	$380.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $359.50 / $530.95	Professional		$213.75	$359.50	$530.95