Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $363.08	Facility		$251.19	$295.12	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $380.19	Professional		$162.18	$257.04	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $380.19	Professional		$302.00	$354.81	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $457.09	Professional		$331.13	$363.08	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $457.09	Professional		$151.36	$302.00	$457.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $676.08	Professional		$257.04	$446.68	$676.08