Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.83 / $461.08 / $542.44	Facility		$406.83	$461.08	$542.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.24 / $430.24 / $430.24	Facility		$430.24	$430.24	$430.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.25 / $705.42 / $799.82	Professional		$491.25	$705.42	$799.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $1,043.42 / $1,226.03	Professional		$170.99	$1,043.42	$1,226.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.99 / $482.17 / $562.53	Professional		$441.99	$482.17	$562.53
United Facility/Professional Professional Modifier Low / Median / High Price $450.82 / $642.40 / $749.74	Professional		$450.82	$642.40	$749.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $497.77 / $704.16 / $1,148.45	Professional		$497.77	$704.16	$1,148.45