Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $446.68	Professional		$32.36	$44.67	$446.68
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $389.05 / $389.05	Professional	AA	$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $691.83	Professional		$316.23	$389.05	$691.83
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $3.98 / $4.37	Professional	QZ	$3.72	$3.98	$4.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $478.63	Professional		$147.91	$208.93	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $81.28	Professional		$34.67	$64.57	$81.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $48.98 / $72.44	Professional		$8.71	$48.98	$72.44