Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $2,187.76	Professional		$1,318.26	$1,445.44	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,691.53	Professional		$1,659.59	$1,737.80	$2,691.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $9,772.37 / $15,135.61	Professional		$575.44	$9,772.37	$15,135.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $2,041.74	Professional		$1,584.89	$1,737.80	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $467.74 / $549.54	Professional	26	$436.52	$467.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,454.71	Professional		$1,412.54	$1,737.80	$2,454.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $13,182.57	Professional		$1,380.38	$1,862.09	$13,182.57