Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.94 / $298.94 / $298.94	Facility		$298.94	$298.94	$298.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $119.16 / $327.45	Professional		$114.54	$119.16	$327.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.95 / $298.95 / $298.95	Facility		$298.95	$298.95	$298.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $465.00 / $465.00	Professional		$465.00	$465.00	$465.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $137.44 / $160.35	Professional		$125.99	$137.44	$160.35
United Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $114.54 / $171.81	Professional		$110.56	$114.54	$171.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $154.55 / $198.46	Professional		$97.70	$154.55	$198.46