Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.64 / $1,086.28 / $1,086.28	Professional		$727.64	$1,086.28	$1,086.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.08 / $1,271.59 / $1,523.52	Professional		$1,156.08	$1,271.59	$1,523.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,237.01 / $1,237.01 / $1,237.01	Professional		$1,237.01	$1,237.01	$1,237.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $670.00	Professional		$5.00	$5.00	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.52 / $1,308.77 / $1,963.16	Professional		$1,144.52	$1,308.77	$1,963.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $535.00 / $1,359.55	Professional		$535.00	$535.00	$1,359.55