Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $398.11 / $489.78	Facility		$331.13	$398.11	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $512.86	Professional		$177.83	$346.74	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $489.78	Professional		$169.82	$169.82	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $562.34	Professional		$407.38	$501.19	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $602.56	Professional		$446.68	$489.78	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $602.56	Professional		$165.96	$331.13	$602.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $794.33	Professional		$346.74	$549.54	$794.33