Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.78 / $1,427.78 / $1,662.16	Professional		$1,427.78	$1,427.78	$1,662.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.36 / $1,891.38 / $2,269.65	Professional		$1,543.36	$1,891.38	$2,269.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,795.99 / $2,064.36 / $2,541.44	Professional		$1,795.99	$2,064.36	$2,541.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,294.83 / $1,664.41 / $1,891.38	Professional		$1,294.83	$1,664.41	$1,891.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.36 / $1,891.38 / $2,481.15	Professional		$1,543.36	$1,891.38	$2,481.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $247.64 / $1,393.78 / $1,965.64	Professional		$247.64	$1,393.78	$1,965.64