Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $446.68	Professional		$354.81	$380.19	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $549.54	Professional		$389.05	$501.19	$549.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $354.81	Professional		$316.23	$346.74	$354.81