Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.35 / $1,263.35 / $1,502.95	Professional		$1,263.35	$1,263.35	$1,502.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.59 / $1,720.09 / $2,064.11	Professional		$1,403.59	$1,720.09	$2,064.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,730.48 / $1,989.06 / $2,287.42	Professional		$1,730.48	$1,989.06	$2,287.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.99 / $1,513.68 / $1,720.09	Professional		$1,240.99	$1,513.68	$1,720.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,403.59 / $1,720.09 / $2,301.75	Professional		$1,403.59	$1,720.09	$2,301.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,236.91 / $4,635.00 / $11,157.00	Professional		$1,236.91	$4,635.00	$11,157.00