Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.30 / $1,120.07 / $1,437.53	Facility		$988.30	$1,120.07	$1,437.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.79 / $614.79 / $614.79	Professional		$614.79	$614.79	$614.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,437.53 / $1,437.53 / $1,437.53	Professional		$1,437.53	$1,437.53	$1,437.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,128.95 / $1,353.67 / $1,497.43	Professional		$1,128.95	$1,353.67	$1,497.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,317.73 / $1,437.53 / $1,677.12	Professional		$1,317.73	$1,437.53	$1,677.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,437.53 / $1,740.00	Professional		$1,160.00	$1,437.53	$1,740.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $986.00 / $1,617.22 / $2,610.00	Professional		$986.00	$1,617.22	$2,610.00