Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.16 / $332.16 / $2,439.12	Facility		$332.16	$332.16	$2,439.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $194.09 / $1,734.28	Professional		$176.44	$194.09	$1,734.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.15 / $332.15 / $332.15	Facility		$332.15	$332.15	$332.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $222.93	Professional		$176.45	$176.45	$222.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $225.08 / $225.08 / $225.08	Professional		$225.08	$225.08	$225.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $211.74 / $264.67	Professional		$176.45	$211.74	$264.67
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $186.44 / $264.68	Professional		$176.45	$186.44	$264.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $233.22 / $454.66	Professional		$155.41	$233.22	$454.66