Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.55 / $1,034.56 / $1,696.90	Professional		$1,034.55	$1,034.56	$1,696.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.52 / $1,283.71 / $1,949.95	Professional		$1,176.52	$1,283.71	$1,949.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $373.15 / $425.40 / $13,672.00	Professional		$373.15	$425.40	$13,672.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,129.67 / $1,232.35 / $1,437.76	Professional		$1,129.67	$1,232.35	$1,437.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $283.42 / $309.18 / $360.71	Professional	26	$283.42	$309.18	$360.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.51 / $1,283.71 / $1,760.69	Professional		$1,047.51	$1,283.71	$1,760.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,012.16 / $1,476.57 / $16,115.00	Professional		$1,012.16	$1,476.57	$16,115.00