Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,380.38	Facility		$954.99	$1,148.15	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,445.44	Professional		$630.96	$1,000.00	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,445.44	Professional		$1,148.15	$1,202.26	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,737.80	Professional		$1,288.25	$1,380.38	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,148.15 / $1,737.80	Professional		$575.44	$1,148.15	$1,737.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,630.27	Professional		$977.24	$1,548.82	$2,630.27