Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.48 / $233.48 / $233.48	Facility		$233.48	$233.48	$233.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $153.13	Professional		$139.21	$139.21	$153.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.48 / $233.48 / $233.48	Facility		$233.48	$233.48	$233.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $139.21 / $163.71	Professional		$137.04	$139.21	$163.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.86 / $169.86 / $169.86	Professional		$169.86	$169.86	$169.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $167.05 / $208.82	Professional		$139.21	$167.05	$208.82
United Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $139.21 / $208.82	Professional		$139.16	$139.21	$208.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $134.06 / $165.08	Professional		$77.63	$134.06	$165.08