Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.05 / $854.59 / $1,096.80	Facility		$754.05	$854.59	$1,096.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.80 / $1,096.80 / $1,096.80	Professional		$1,096.80	$1,096.80	$1,096.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $957.07 / $1,142.50	Professional		$914.00	$957.07	$1,142.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,005.40 / $1,096.80 / $1,279.59	Professional		$1,005.40	$1,096.80	$1,279.59
United Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,096.80 / $1,371.00	Professional		$914.00	$1,096.80	$1,371.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $1,233.90 / $2,056.50	Professional		$776.90	$1,233.90	$2,056.50