Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.47 / $285.00 / $365.77	Facility		$251.47	$285.00	$365.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $103.74 / $103.74	Professional		$103.74	$103.74	$103.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.77 / $365.77 / $365.77	Professional		$365.77	$365.77	$365.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $287.25 / $344.44 / $381.01	Professional		$287.25	$344.44	$381.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.29 / $365.77 / $426.73	Professional		$335.29	$365.77	$426.73
United Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $365.77 / $457.22	Professional		$304.81	$365.77	$457.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.37 / $381.01 / $548.66	Professional		$213.37	$381.01	$548.66