Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.17 / $791.26 / $1,015.52	Facility		$698.17	$791.26	$1,015.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.52 / $448.52 / $448.52	Professional		$448.52	$448.52	$448.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.94 / $1,015.52 / $1,015.52	Professional		$460.94	$1,015.52	$1,015.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $797.54 / $956.29 / $1,163.63	Professional		$797.54	$956.29	$1,163.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.90 / $1,015.52 / $1,184.78	Professional		$930.90	$1,015.52	$1,184.78
United Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,015.52 / $1,269.41	Professional		$846.27	$1,015.52	$1,269.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $719.33 / $1,142.46 / $1,904.11	Professional		$719.33	$1,142.46	$1,904.11