Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $327.62 / $449.50	Facility		$206.39	$327.62	$449.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $16.36 / $20.22	Professional		$14.73	$16.36	$20.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $17.64	Professional		$14.73	$14.73	$17.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $21.46 / $21.46	Professional		$21.46	$21.46	$21.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $17.68 / $20.62	Professional		$14.73	$17.68	$20.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $17.64 / $22.10	Professional		$14.73	$17.64	$22.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $14.75	Professional		$14.04	$14.04	$14.75