Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.98 / $275.38 / $353.42	Facility		$242.98	$275.38	$353.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.42 / $353.42 / $353.42	Professional		$353.42	$353.42	$353.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $404.83 / $477.70 / $556.64	Professional		$404.83	$477.70	$556.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.97 / $353.42 / $412.33	Professional		$323.97	$353.42	$412.33
United Facility/Professional Professional Modifier Low / Median / High Price $353.42 / $401.79 / $571.70	Professional		$353.42	$401.79	$571.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $368.15 / $662.67	Professional		$250.34	$368.15	$662.67