Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.80 / $499.80 / $499.80	Facility		$499.80	$499.80	$499.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $293.39 / $432.16	Professional		$163.68	$293.39	$432.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $319.08	Professional		$147.34	$147.34	$319.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $280.63 / $280.63	Professional		$268.00	$280.63	$280.63
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 $206.04 / $242.40 / $242.40	Professional		$206.04	$242.40	$242.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $252.33 / $252.33 / $277.56	Professional		$252.33	$252.33	$277.56