Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,258.93	Facility		$870.96	$1,047.13	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,318.26	Professional		$562.34	$912.01	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,318.26	Professional		$1,047.13	$1,174.90	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,584.89	Professional		$1,148.15	$1,258.93	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,584.89	Professional		$436.52	$524.81	$1,584.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $2,344.23	Professional		$891.25	$1,548.82	$2,344.23