Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.03 / $1,201.03 / $2,846.21	Professional		$886.03	$1,201.03	$2,846.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.87 / $2,160.80 / $2,592.96	Professional		$1,722.87	$2,160.80	$2,592.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,181.03 / $1,375.96 / $2,662.47	Professional		$1,181.03	$1,375.96	$2,662.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $834.46 / $1,832.36 / $2,160.80	Professional		$834.46	$1,832.36	$2,160.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,748.79 / $2,134.98 / $2,905.11	Professional		$1,748.79	$2,134.98	$2,905.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $897.58 / $4,682.00 / $11,157.30	Professional		$897.58	$4,682.00	$11,157.30