Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.06 / $892.06 / $1,086.94	Professional		$892.06	$892.06	$1,086.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.22 / $1,273.55 / $1,528.26	Professional		$1,039.22	$1,273.55	$1,528.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,262.75 / $1,454.48 / $1,568.21	Professional		$1,262.75	$1,454.48	$1,568.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,120.72 / $1,273.55	Professional		$893.00	$1,120.72	$1,273.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,039.22 / $1,273.55 / $1,691.88	Professional		$1,039.22	$1,273.55	$1,691.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $910.90 / $4,635.00 / $11,157.00	Professional		$910.90	$4,635.00	$11,157.00