Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,358.69 / $1,358.69 / $1,609.57	Professional		$1,358.69	$1,358.69	$1,609.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.41 / $1,874.28 / $2,249.13	Professional		$1,529.41	$1,874.28	$2,249.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,740.32 / $1,968.50 / $2,215.85	Professional		$1,740.32	$1,968.50	$2,215.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.54 / $1,649.36 / $1,874.28	Professional		$1,240.54	$1,649.36	$1,874.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,529.41 / $1,874.28 / $2,422.58	Professional		$1,529.41	$1,874.28	$2,422.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $1,322.64 / $1,923.07	Professional		$242.28	$1,322.64	$1,923.07