Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,479.11	Professional		$891.25	$1,122.02	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $4,570.88	Professional		$954.99	$1,348.96	$4,570.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,445.44	Professional		$1,071.52	$1,230.27	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,819.70	Professional		$1,202.26	$1,445.44	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,698.24	Professional		$851.14	$1,230.27	$1,698.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,445.44	Professional		$870.96	$1,047.13	$1,445.44