Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.85 / $308.08 / $395.41	Facility		$271.85	$308.08	$395.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $174.64 / $174.64	Professional		$174.64	$174.64	$174.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.61 / $395.41 / $395.41	Professional		$180.61	$395.41	$395.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $310.54 / $372.35 / $411.89	Professional		$310.54	$372.35	$411.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.46 / $395.41 / $461.31	Professional		$362.46	$395.41	$461.31
United Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $395.41 / $494.27	Professional		$329.51	$395.41	$494.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $484.38 / $807.30	Professional		$280.08	$484.38	$807.30