Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.49 / $493.56 / $633.44	Facility		$435.49	$493.56	$633.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.62 / $322.62 / $322.62	Professional		$322.62	$322.62	$322.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.44 / $633.44 / $633.44	Professional		$633.44	$633.44	$633.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $388.98 / $469.83 / $552.74	Professional		$388.98	$469.83	$552.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $633.44 / $739.02	Professional		$580.66	$633.44	$739.02
United Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $633.44 / $791.81	Professional		$527.87	$633.44	$791.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $403.69 / $622.89 / $950.17	Professional		$403.69	$622.89	$950.17