Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.10 / $287.98 / $369.60	Facility		$254.10	$287.98	$369.60
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 $369.60 / $369.60 / $369.60	Professional		$369.60	$369.60	$369.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $223.39 / $322.51	Professional		$178.71	$223.39	$322.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.80 / $369.60 / $431.20	Professional		$338.80	$369.60	$431.20
United Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $369.60 / $462.00	Professional		$161.24	$369.60	$462.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $363.44 / $554.40	Professional		$125.88	$363.44	$554.40