Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $710.60 / $912.00	Facility		$627.00	$710.60	$912.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.11 / $319.11 / $319.11	Professional		$319.11	$319.11	$319.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $912.00 / $912.00	Professional		$329.41	$912.00	$912.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $795.81 / $950.00	Professional		$760.00	$795.81	$950.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $912.00 / $1,064.00	Professional		$836.00	$912.00	$1,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.10 / $912.00 / $1,140.00	Professional		$602.10	$912.00	$1,140.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $1,026.00 / $1,710.00	Professional		$646.00	$1,026.00	$1,710.00