Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.84 / $501.84 / $501.84	Facility		$501.84	$501.84	$501.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.69 / $326.37 / $830.25	Professional		$313.69	$326.37	$830.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $1,117.34 / $1,117.34	Professional		$1,117.34	$1,117.34	$1,117.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $827.68 / $827.68 / $866.68	Professional		$827.68	$827.68	$866.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $910.44 / $993.20 / $1,034.58	Professional		$910.44	$993.20	$1,034.58
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $538.58 / $1,117.34	Professional		$359.05	$538.58	$1,117.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00