Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.40 / $914.40 / $914.40	Facility		$914.40	$914.40	$914.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $250.50	Professional		$180.00	$180.00	$250.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.16 / $284.16 / $284.16	Professional		$284.16	$284.16	$284.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $148.87 / $253.14	Professional		$112.29	$148.87	$253.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $121.86 / $142.16	Professional		$111.71	$121.86	$142.16
United Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $218.03 / $287.67	Professional		$174.46	$218.03	$287.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $186.59 / $229.89	Professional		$186.59	$186.59	$229.89