Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $363.08	Professional		$173.78	$223.87	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,348.96	Professional		$977.24	$1,258.93	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $616.60	Professional		$446.68	$537.03	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $457.09	Professional		$190.55	$239.88	$457.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $354.81 / $630.96	Professional		$134.90	$354.81	$630.96