Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.81 / $924.12 / $3,363.75	Professional		$792.81	$924.12	$3,363.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.58 / $1,171.58 / $1,171.58	Professional		$1,171.58	$1,171.58	$1,171.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,006.65 / $1,158.24 / $1,361.93	Professional		$1,006.65	$1,158.24	$1,361.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,036.75 / $1,131.00 / $1,319.50	Professional		$1,036.75	$1,131.00	$1,319.50
United Facility/Professional Professional Modifier Low / Median / High Price $485.61 / $1,364.01 / $1,647.00	Professional		$485.61	$1,364.01	$1,647.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $227.36 / $276.08 / $376.77	Professional		$227.36	$276.08	$376.77