Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.00 / $421.60 / $541.09	Facility		$372.00	$421.60	$541.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $204.97 / $204.97	Professional		$204.97	$204.97	$204.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.09 / $541.09 / $541.09	Professional		$541.09	$541.09	$541.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $536.90 / $625.63	Professional		$455.00	$536.90	$625.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $541.09 / $631.27	Professional		$496.00	$541.09	$631.27
United Facility/Professional Professional Modifier Low / Median / High Price $451.59 / $541.09 / $676.37	Professional		$451.59	$541.09	$676.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.27 / $571.41 / $1,014.55	Professional		$383.27	$571.41	$1,014.55