Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.22 / $617.22 / $642.15	Professional		$617.22	$617.22	$642.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.03 / $1,348.03 / $1,348.03	Facility		$1,348.03	$1,348.03	$1,348.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $1,866.58	Professional		$700.00	$700.00	$1,866.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,696.89 / $1,776.85 / $1,776.85	Professional		$1,696.89	$1,776.85	$1,776.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.13 / $1,696.89 / $2,375.65	Professional		$1,018.13	$1,696.89	$2,375.65
United Facility/Professional Professional Modifier Low / Median / High Price $784.56 / $1,348.03 / $1,866.58	Professional		$784.56	$1,348.03	$1,866.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $742.11 / $1,366.91 / $1,615.13	Professional		$742.11	$1,366.91	$1,615.13