Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.10 / $512.10 / $512.10	Professional		$512.10	$512.10	$512.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $116.50 / $578.29	Professional		$59.82	$116.50	$578.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $1,639.20 / $1,716.44	Professional		$118.93	$1,639.20	$1,716.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.72 / $213.72 / $213.72	Professional		$213.72	$213.72	$213.72
United Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $1,577.80 / $1,577.80	Professional		$112.38	$1,577.80	$1,577.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,318.29 / $2,318.29 / $2,318.29	Professional		$2,318.29	$2,318.29	$2,318.29