Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.49 / $637.32 / $2,095.08	Professional		$313.49	$637.32	$2,095.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $500.02 / $690.53	Professional		$389.59	$500.02	$690.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $548.39 / $618.40 / $729.71	Professional		$548.39	$618.40	$729.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.59 / $607.66 / $773.39	Professional		$446.59	$607.66	$773.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.59 / $690.53 / $747.12	Professional		$513.59	$690.53	$747.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $500.51 / $747.97	Professional		$94.23	$500.51	$747.97