Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $436.52 / $524.81	Facility		$363.08	$436.52	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $380.19 / $549.54	Professional		$95.50	$380.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $524.81	Professional		$91.20	$91.20	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $602.56	Professional		$436.52	$549.54	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $660.69	Professional		$478.63	$524.81	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $660.69	Professional		$89.13	$177.83	$660.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $794.33	Professional		$371.54	$549.54	$794.33