Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $523.79 / $523.79	Professional		$523.79	$523.79	$523.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,129.25 / $1,129.25 / $1,129.25	Facility		$1,129.25	$1,129.25	$1,129.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $568.02 / $992.20	Professional		$59.58	$568.02	$992.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $116.37 / $116.37	Professional		$116.37	$116.37	$116.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $187.72	Professional		$187.72	$187.72	$187.72
United Facility/Professional Professional Modifier Low / Median / High Price $453.07 / $852.80 / $1,129.25	Professional		$453.07	$852.80	$1,129.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,704.30 / $1,704.30 / $1,704.30	Professional		$1,704.30	$1,704.30	$1,704.30