Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.34 / $958.59 / $4,389.00	Professional		$863.34	$958.59	$4,389.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.78 / $1,237.71 / $1,237.71	Professional		$1,023.78	$1,237.71	$1,237.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,334.94 / $1,534.41 / $1,729.12	Professional		$1,334.94	$1,534.41	$1,729.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.19 / $1,188.20 / $1,386.24	Professional		$1,089.19	$1,188.20	$1,386.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.97 / $1,237.71 / $1,569.26	Professional		$1,009.97	$1,237.71	$1,569.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.77 / $1,144.97 / $1,342.16	Professional		$167.77	$1,144.97	$1,342.16