Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.62 / $617.62 / $617.62	Facility		$617.62	$617.62	$617.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $392.62	Professional		$356.93	$356.93	$392.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $406.67	Professional		$356.93	$356.93	$406.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $421.92 / $421.92 / $421.92	Professional		$421.92	$421.92	$421.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $428.32 / $535.40	Professional		$356.93	$428.32	$535.40
United Facility/Professional Professional Modifier Low / Median / High Price $345.67 / $369.59 / $535.40	Professional		$345.67	$369.59	$535.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $319.99 / $399.99 / $437.17	Professional		$319.99	$399.99	$437.17