Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.78 / $432.78 / $432.78	Facility		$432.78	$432.78	$432.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $273.35	Professional		$248.50	$248.50	$273.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $291.98	Professional		$248.50	$248.50	$291.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $302.93 / $302.93 / $302.93	Professional		$302.93	$302.93	$302.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $298.20 / $372.75	Professional		$248.50	$298.20	$372.75
United Facility/Professional Professional Modifier Low / Median / High Price $248.18 / $251.30 / $372.75	Professional		$248.18	$251.30	$372.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $280.67 / $313.88	Professional		$217.57	$280.67	$313.88