Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.42 / $865.42 / $865.42	Facility		$865.42	$865.42	$865.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.42 / $865.42 / $865.42	Facility		$865.42	$865.42	$865.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $707.98 / $707.98 / $707.98	Professional		$707.98	$707.98	$707.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.63 / $610.51 / $712.26	Professional		$559.63	$610.51	$712.26
United Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $581.91 / $763.14	Professional		$508.76	$581.91	$763.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $417.25 / $477.43 / $586.75	Professional		$417.25	$477.43	$586.75