Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.35 / $1,165.89 / $3,801.17	Professional		$553.35	$1,165.89	$3,801.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.94 / $893.12 / $1,261.98	Professional		$686.94	$893.12	$1,261.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $983.93 / $1,260.00 / $1,486.80	Professional		$983.93	$1,260.00	$1,486.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.63 / $1,110.54 / $1,413.41	Professional		$818.63	$1,110.54	$1,413.41
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 $916.14 / $1,261.98 / $1,332.50	Professional		$916.14	$1,261.98	$1,332.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $914.84 / $1,366.88	Professional		$172.20	$914.84	$1,366.88