Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $323.59 / $398.11	Facility		$269.15	$323.59	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $416.87	Professional		$177.83	$281.84	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $398.11	Professional		$169.82	$181.97	$398.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $407.38	Professional		$331.13	$389.05	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $489.78	Professional		$363.08	$398.11	$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 $281.84 / $489.78 / $741.31	Professional		$281.84	$489.78	$741.31