Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $257.04	Professional		$128.82	$165.96	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $954.99	Professional		$691.83	$912.01	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $501.19	Professional		$371.54	$436.52	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $338.84	Professional		$199.53	$208.93	$338.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $316.23 / $524.81	Professional		$120.23	$316.23	$524.81