Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.49 / $479.95 / $564.65	Facility		$423.49	$479.95	$564.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $494.18 / $687.89	Professional		$475.00	$494.18	$687.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.71 / $436.71 / $436.71	Facility		$436.71	$436.71	$436.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.95 / $529.62 / $637.74	Professional		$479.95	$529.62	$637.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $472.67 / $593.97	Professional		$175.70	$472.67	$593.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.09 / $501.91 / $585.55	Professional		$460.09	$501.91	$585.55
United Facility/Professional Professional Modifier Low / Median / High Price $259.52 / $564.65 / $798.44	Professional		$259.52	$564.65	$798.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $509.90 / $601.08 / $1,110.27	Professional		$509.90	$601.08	$1,110.27