Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.77 / $255.32 / $490.00	Facility		$212.77	$255.32	$490.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $217.56 / $476.93	Professional		$126.81	$217.56	$476.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.50 / $514.50 / $514.50	Facility		$514.50	$514.50	$514.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $241.14 / $295.51	Professional		$175.43	$241.14	$295.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $242.38 / $269.31 / $345.01	Professional		$242.38	$269.31	$345.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $260.05 / $295.51	Professional		$236.41	$260.05	$295.51
United Facility/Professional Professional Modifier Low / Median / High Price $181.50 / $258.04 / $315.23	Professional		$181.50	$258.04	$315.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $284.20 / $415.38	Professional		$208.25	$284.20	$415.38