Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $875.16 / $1,123.20	Facility		$772.20	$875.16	$1,123.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,150.00	Professional		$1,150.00	$1,150.00	$1,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.20 / $1,123.20 / $1,123.20	Professional		$1,123.20	$1,123.20	$1,123.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $833.09 / $980.10 / $1,170.00	Professional		$833.09	$980.10	$1,170.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,123.20 / $1,404.00	Professional		$936.00	$1,123.20	$1,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,123.20 / $1,404.00	Professional		$936.00	$1,123.20	$1,404.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $795.60 / $1,375.92 / $2,106.00	Professional		$795.60	$1,375.92	$2,106.00