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 $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
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 $204.61 / $255.76 / $346.60	Professional		$204.61	$255.76	$346.60
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 $184.61 / $397.20 / $496.50	Professional		$184.61	$397.20	$496.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $390.58 / $595.79	Professional		$125.88	$390.58	$595.79