Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.11 / $632.53 / $811.80	Facility		$558.11	$632.53	$811.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $149.93 / $149.93	Professional		$149.93	$149.93	$149.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $811.80 / $811.80	Professional		$811.80	$811.80	$811.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $637.54 / $764.45 / $845.63	Professional		$637.54	$764.45	$845.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.15 / $811.80 / $947.10	Professional		$744.15	$811.80	$947.10
United Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $424.32 / $811.80	Professional		$282.88	$424.32	$811.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $509.18 / $798.27 / $1,522.13	Professional		$509.18	$798.27	$1,522.13