Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.20 / $594.20 / $594.20	Facility		$594.20	$594.20	$594.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $130.93	Professional		$95.90	$95.90	$130.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.20 / $594.20 / $594.20	Facility		$594.20	$594.20	$594.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $220.66	Professional		$95.90	$95.90	$220.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $166.44 / $166.44	Professional		$166.44	$166.44	$166.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $115.08 / $143.85	Professional		$95.90	$115.08	$143.85
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $160.43	Professional		$95.90	$101.65	$160.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $284.64 / $1,578.25	Professional		$153.54	$284.64	$1,578.25