Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.24 / $249.24 / $249.24	Facility		$249.24	$249.24	$249.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.71 / $134.71 / $177.81	Professional		$134.71	$134.71	$177.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $187.87 / $187.87 / $187.87	Professional		$187.87	$187.87	$187.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $155.38 / $181.27	Professional		$142.43	$155.38	$181.27
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $154.41 / $194.22	Professional		$129.47	$154.41	$194.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $155.69 / $166.00	Professional		$125.13	$155.69	$166.00