Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $247.34 / $247.34	Professional		$247.34	$247.34	$247.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.18 / $818.18 / $818.18	Facility		$818.18	$818.18	$818.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $454.00 / $1,132.91	Professional		$454.00	$454.00	$1,132.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,029.92 / $1,078.45 / $1,078.45	Professional		$1,029.92	$1,078.45	$1,078.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.95 / $1,029.92 / $1,441.89	Professional		$617.95	$1,029.92	$1,441.89
United Facility/Professional Professional Modifier Low / Median / High Price $604.12 / $818.18 / $1,132.91	Professional		$604.12	$818.18	$1,132.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $450.42 / $829.64 / $980.29	Professional		$450.42	$829.64	$980.29