Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.66 / $340.66 / $340.66	Facility		$340.66	$340.66	$340.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.27 / $184.27 / $184.27	Professional		$184.27	$184.27	$184.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.66 / $340.66 / $340.66	Facility		$340.66	$340.66	$340.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $268.89 / $268.89 / $268.89	Professional		$268.89	$268.89	$268.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.69 / $218.94 / $255.43	Professional		$200.69	$218.94	$255.43
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $221.01 / $273.68	Professional		$182.45	$221.01	$273.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $195.79 / $262.97	Professional		$124.16	$195.79	$262.97