Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $426.58 / $524.81	Facility		$363.08	$426.58	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $562.34	Professional		$346.74	$436.52	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $602.56	Professional		$436.52	$512.86	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $645.65	Professional		$478.63	$524.81	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $436.52 / $645.65	Professional		$218.78	$436.52	$645.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $512.86 / $776.25	Professional		$173.78	$512.86	$776.25