Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $323.59 / $389.05	Facility		$269.15	$323.59	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $407.38	Professional		$177.83	$281.84	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $389.05	Professional		$169.82	$169.82	$389.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $478.63	Professional		$331.13	$426.58	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $489.78	Professional		$354.81	$389.05	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $489.78	Professional		$165.96	$331.13	$489.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $724.44	Professional		$245.47	$398.11	$724.44