Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.18 / $260.87 / $334.80	Facility		$230.18	$260.87	$334.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Professional		$825.00	$825.00	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.80 / $334.80 / $334.80	Professional		$334.80	$334.80	$334.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $262.94 / $315.27 / $348.75	Professional		$262.94	$315.27	$348.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $334.80 / $390.60	Professional		$306.89	$334.80	$390.60
United Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $334.80 / $418.50	Professional		$148.54	$334.80	$418.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $237.15 / $348.75 / $502.20	Professional		$237.15	$348.75	$502.20