Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.41 / $629.39 / $2,677.30	Professional		$612.41	$629.39	$2,677.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.68 / $1,845.98 / $2,697.19	Professional		$693.68	$1,845.98	$2,697.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $893.68 / $1,106.58 / $3,284.06	Professional		$893.68	$1,106.58	$3,284.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.61 / $1,624.46 / $2,067.48	Professional		$399.61	$1,624.46	$2,067.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.32 / $1,872.25 / $2,688.69	Professional		$1,506.32	$1,872.25	$2,688.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $1,182.09 / $4,703.24	Professional		$270.20	$1,182.09	$4,703.24