Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $309.03 / $363.08	Facility		$275.42	$309.03	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $398.11	Professional		$190.55	$234.42	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $616.60	Professional		$186.21	$363.08	$616.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $467.74	Professional		$389.05	$457.09	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $389.05	Professional		$309.03	$338.84	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $489.78	Professional		$229.09	$346.74	$489.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $776.25	Professional		$263.03	$416.87	$776.25