Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.16 / $664.16 / $664.16	Facility		$664.16	$664.16	$664.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $377.51 / $377.51	Professional		$377.51	$377.51	$377.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.16 / $664.16 / $664.16	Facility		$664.16	$664.16	$664.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $540.16 / $540.16 / $540.16	Professional		$540.16	$540.16	$540.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.27 / $453.03 / $528.53	Professional		$415.27	$453.03	$528.53
United Facility/Professional Professional Modifier Low / Median / High Price $420.26 / $443.96 / $566.28	Professional		$420.26	$443.96	$566.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $236.99 / $370.46 / $447.66	Professional		$236.99	$370.46	$447.66