Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.83 / $853.83 / $986.21	Professional		$853.83	$853.83	$986.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.25 / $1,128.99 / $1,354.79	Professional		$921.25	$1,128.99	$1,354.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,106.63 / $1,245.69 / $1,432.54	Professional		$1,106.63	$1,245.69	$1,432.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.78 / $993.51 / $1,128.99	Professional		$783.78	$993.51	$1,128.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.25 / $1,128.99 / $1,471.32	Professional		$921.25	$1,128.99	$1,471.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $853.70 / $1,174.18	Professional		$146.77	$853.70	$1,174.18