Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $445.70 / $445.70	Professional		$445.70	$445.70	$445.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $1,877.15 / $1,877.15	Facility		$1,877.15	$1,877.15	$1,877.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $2,599.23	Professional		$1,057.34	$1,057.34	$2,599.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,362.94 / $2,474.28 / $2,474.28	Professional		$2,362.94	$2,474.28	$2,474.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,417.76 / $2,362.94 / $3,308.12	Professional		$1,417.76	$2,362.94	$3,308.12
United Facility/Professional Professional Modifier Low / Median / High Price $973.43 / $1,877.15 / $2,599.23	Professional		$973.43	$1,877.15	$2,599.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,033.40 / $1,903.44 / $2,249.08	Professional		$1,033.40	$1,903.44	$2,249.08