Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.40 / $720.00 / $748.80	Facility		$374.40	$720.00	$748.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $276.26 / $317.60	Professional		$158.21	$276.26	$317.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $178.12	Professional		$116.76	$116.76	$178.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $231.41 / $231.41	Professional		$221.00	$231.41	$231.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $670.00 / $670.00	Professional		$670.00	$670.00	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $194.93 / $194.93	Professional		$165.69	$194.93	$194.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $205.33 / $205.33 / $225.86	Professional		$205.33	$205.33	$225.86