Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.91 / $600.91 / $600.91	Professional		$600.91	$600.91	$600.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,670.21 / $2,670.21 / $2,670.21	Facility		$2,670.21	$2,670.21	$2,670.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $3,697.38	Professional		$1,184.20	$1,184.20	$3,697.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,361.25 / $3,519.63 / $3,519.63	Professional		$3,361.25	$3,519.63	$3,519.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,016.75 / $3,361.25 / $4,705.75	Professional		$2,016.75	$3,361.25	$4,705.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,467.70 / $2,670.21 / $3,697.38	Professional		$1,467.70	$2,670.21	$3,697.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,469.99 / $2,707.61 / $3,199.29	Professional		$1,469.99	$2,707.61	$3,199.29