Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.14 / $400.14 / $400.14	Facility		$400.14	$400.14	$400.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $206.65 / $1,436.96	Professional		$204.61	$206.65	$1,436.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.14 / $400.14 / $400.14	Facility		$400.14	$400.14	$400.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $246.67	Professional		$204.61	$204.61	$246.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $300.12 / $300.12 / $300.12	Professional		$300.12	$300.12	$300.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $245.53 / $286.45	Professional		$204.61	$245.53	$286.45
United Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $246.67 / $306.92	Professional		$204.61	$246.67	$306.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $240.67 / $257.95	Professional		$205.24	$240.67	$257.95