Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $326.20 / $326.20	Facility		$326.20	$326.20	$326.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $183.48 / $251.97	Professional		$183.47	$183.48	$251.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $326.20 / $326.20	Facility		$326.20	$326.20	$326.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $233.17	Professional		$183.48	$183.48	$233.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $224.16 / $224.16	Professional		$224.16	$224.16	$224.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $220.17 / $275.22	Professional		$183.48	$220.17	$275.22
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $275.22	Professional		$183.48	$194.49	$275.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $183.41 / $232.26	Professional		$150.06	$183.41	$232.26