Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.96 / $377.96 / $377.96	Facility		$377.96	$377.96	$377.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $238.59	Professional		$216.90	$216.90	$238.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $254.54	Professional		$216.90	$216.90	$254.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $264.08 / $264.08 / $264.08	Professional		$264.08	$264.08	$264.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $260.27 / $325.35	Professional		$216.90	$260.27	$325.35
United Facility/Professional Professional Modifier Low / Median / High Price $216.36 / $218.27 / $325.35	Professional		$216.36	$218.27	$325.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.98 / $242.76 / $273.63	Professional		$188.98	$242.76	$273.63