Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.10 / $323.11 / $414.68	Facility		$285.10	$323.11	$414.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.86 / $378.05 / $449.99	Professional		$249.86	$378.05	$449.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.68 / $414.68 / $414.68	Professional		$414.68	$414.68	$414.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $560.50 / $653.13	Professional		$475.00	$560.50	$653.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.13 / $414.68 / $483.80	Professional		$380.13	$414.68	$483.80
United Facility/Professional Professional Modifier Low / Median / High Price $414.68 / $471.44 / $670.79	Professional		$414.68	$471.44	$670.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $293.73 / $466.52 / $777.53	Professional		$293.73	$466.52	$777.53