Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $1,026.52 / $1,361.67	Professional		$29.78	$1,026.52	$1,361.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.96 / $1,367.90 / $1,764.51	Professional		$797.96	$1,367.90	$1,764.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $49.73 / $1,665.37	Professional		$41.29	$49.73	$1,665.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $1,367.90 / $1,877.51	Professional		$37.35	$1,367.90	$1,877.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.88 / $1,490.35 / $1,900.02	Professional		$1,011.88	$1,490.35	$1,900.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,303.80 / $1,303.80 / $1,303.80	Professional		$1,303.80	$1,303.80	$1,303.80