Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Professional		$950.00	$950.00	$950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.49 / $277.49 / $690.69	Professional		$277.49	$277.49	$690.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $3,294.94 / $3,644.85	Professional		$113.03	$3,294.94	$3,644.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,100.48 / $1,200.53 / $1,400.62	Professional		$1,100.48	$1,200.53	$1,400.62
United Facility/Professional Professional Modifier Low / Median / High Price $864.89 / $2,372.21 / $2,592.11	Professional		$864.89	$2,372.21	$2,592.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,628.39 / $1,878.92 / $4,049.00	Professional		$1,628.39	$1,878.92	$4,049.00