Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.14 / $456.90 / $586.39	Facility		$403.14	$456.90	$586.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.12 / $378.12 / $378.12	Professional		$378.12	$378.12	$378.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.52 / $586.39 / $586.39	Professional		$387.52	$586.39	$586.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $794.59 / $994.92 / $1,159.33	Professional		$794.59	$994.92	$1,159.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.53 / $586.39 / $684.12	Professional		$537.53	$586.39	$684.12
United Facility/Professional Professional Modifier Low / Median / High Price $586.39 / $682.72 / $948.54	Professional		$586.39	$682.72	$948.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $547.29 / $887.54 / $1,228.90	Professional		$547.29	$887.54	$1,228.90