Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $187.00 / $240.00	Facility		$165.00	$187.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.21 / $428.21 / $428.21	Professional		$428.21	$428.21	$428.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $570.04 / $627.05 / $783.83	Professional		$570.04	$627.05	$783.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $240.00 / $280.00	Professional		$220.00	$240.00	$280.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $240.00 / $300.00	Professional		$200.00	$240.00	$300.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $294.00 / $763.87	Professional		$170.00	$294.00	$763.87