Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.08 / $309.49 / $397.20	Facility		$273.08	$309.49	$397.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $66.48	Professional		$66.48	$66.48	$66.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $397.20 / $397.20	Professional		$397.20	$397.20	$397.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $287.12 / $331.00 / $358.90	Professional		$287.12	$331.00	$358.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.10 / $397.20 / $463.40	Professional		$364.10	$397.20	$463.40
United Facility/Professional Professional Modifier Low / Median / High Price $259.06 / $397.20 / $496.50	Professional		$259.06	$397.20	$496.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $390.58 / $633.74	Professional		$125.88	$390.58	$633.74