Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $1,071.52	Facility		$741.31	$891.25	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $776.25 / $1,122.02	Professional		$309.03	$776.25	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,230.27	Professional		$891.25	$1,023.29	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,348.96	Professional		$1,000.00	$1,071.52	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $1,348.96	Professional		$446.68	$891.25	$1,348.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,621.81	Professional		$758.58	$1,122.02	$1,621.81