Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.72 / $415.72 / $415.72	Facility		$415.72	$415.72	$415.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $232.46 / $232.46	Professional		$232.46	$232.46	$232.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.72 / $415.72 / $415.72	Facility		$415.72	$415.72	$415.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $326.33 / $326.33	Professional		$326.33	$326.33	$326.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.17 / $276.18 / $322.22	Professional		$253.17	$276.18	$322.22
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $268.22 / $345.23	Professional		$230.15	$268.22	$345.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $222.84 / $285.26	Professional		$129.50	$222.84	$285.26