Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.82 / $516.82 / $516.82	Facility		$516.82	$516.82	$516.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $118.62 / $1,960.00	Professional		$86.37	$118.62	$1,960.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.82 / $516.82 / $516.82	Facility		$516.82	$516.82	$516.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $181.01 / $181.01 / $181.01	Professional		$181.01	$181.01	$181.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $103.66 / $120.94	Professional		$95.02	$103.66	$120.94
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $129.57 / $148.77	Professional		$86.38	$129.57	$148.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $237.20 / $482.21	Professional		$91.11	$237.20	$482.21