Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,148.15	Professional		$616.60	$794.33	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,202.26	Professional		$758.58	$851.14	$1,202.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,318.26	Professional		$1,023.29	$1,174.90	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,122.02	Professional		$630.96	$954.99	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,230.27	Professional		$501.19	$851.14	$1,230.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,801.89 / $9,332.54	Professional		$776.25	$3,801.89	$9,332.54