Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.58 / $747.58 / $747.58	Facility		$747.58	$747.58	$747.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $474.83 / $479.58	Professional		$474.83	$474.83	$479.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $747.57 / $747.57 / $747.57	Facility		$747.57	$747.57	$747.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $702.68 / $702.68 / $702.68	Professional		$702.68	$702.68	$702.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.32 / $569.80 / $664.77	Professional		$522.32	$569.80	$664.77
United Facility/Professional Professional Modifier Low / Median / High Price $528.60 / $577.54 / $712.26	Professional		$528.60	$577.54	$712.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.71 / $483.17 / $582.36	Professional		$213.71	$483.17	$582.36