Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.13 / $1,105.17 / $1,889.90	Professional		$926.13	$1,105.17	$1,889.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.93 / $1,409.23 / $1,580.02	Professional		$1,149.93	$1,409.23	$1,580.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $1,576.24 / $1,662.45	Professional		$163.77	$1,576.24	$1,662.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.11 / $1,352.86 / $1,578.33	Professional		$1,240.11	$1,352.86	$1,578.33
United Facility/Professional Professional Modifier Low / Median / High Price $866.16 / $1,275.40 / $1,648.77	Professional		$866.16	$1,275.40	$1,648.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $807.00 / $807.00 / $979.92	Professional		$807.00	$807.00	$979.92