Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $185.87 / $185.87	Professional		$185.87	$185.87	$185.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.45 / $418.45 / $418.45	Facility		$418.45	$418.45	$418.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $216.42 / $579.45	Professional		$216.42	$216.42	$579.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $526.77 / $551.59 / $551.59	Professional		$526.77	$551.59	$551.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.06 / $526.77 / $737.48	Professional		$316.06	$526.77	$737.48
United Facility/Professional Facility Modifier Low / Median / High Price $153.02 / $153.02 / $154.65	Facility		$153.02	$153.02	$154.65
United Facility/Professional Professional Modifier Low / Median / High Price $236.26 / $418.45 / $579.45	Professional		$236.26	$418.45	$579.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $230.37 / $424.32 / $501.38	Professional		$230.37	$424.32	$501.38