Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.14 / $996.80 / $4,736.00	Professional		$904.14	$996.80	$4,736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.28 / $1,361.03 / $1,361.03	Professional		$1,124.28	$1,361.03	$1,361.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $1,122.55 / $1,376.31	Professional		$70.41	$1,122.55	$1,376.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.70 / $1,306.58 / $1,524.35	Professional		$1,197.70	$1,306.58	$1,524.35
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 $1,110.59 / $1,361.03 / $1,751.87	Professional		$1,110.59	$1,361.03	$1,751.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $981.25 / $1,704.03	Professional		$29.27	$981.25	$1,704.03