Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $280.50 / $360.00	Facility		$247.50	$280.50	$360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $66.20	Professional		$66.20	$66.20	$66.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Professional		$360.00	$360.00	$360.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $267.02 / $314.14	Professional		$109.71	$267.02	$314.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $360.00 / $420.00	Professional		$330.00	$360.00	$420.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $360.00 / $450.00	Professional		$87.60	$360.00	$450.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $336.00 / $540.00	Professional		$118.27	$336.00	$540.00