Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Facility		$525.00	$525.00	$525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $53.00 / $525.00	Professional		$32.50	$53.00	$525.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $450.00 / $540.00	Professional		$330.00	$450.00	$540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $245.00 / $459.20	Professional		$155.85	$245.00	$459.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $64.00 / $77.00	Professional		$30.00	$64.00	$77.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $49.30 / $71.83	Professional		$8.69	$49.30	$71.83