Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.34 / $612.34 / $612.34	Professional		$612.34	$612.34	$612.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,418.54 / $1,418.54 / $1,418.54	Facility		$1,418.54	$1,418.54	$1,418.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.96 / $842.96 / $1,964.20	Professional		$842.96	$842.96	$1,964.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,785.64 / $1,869.78 / $1,869.78	Professional		$1,785.64	$1,869.78	$1,869.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.38 / $1,785.64 / $2,499.90	Professional		$1,071.38	$1,785.64	$2,499.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.90 / $1,418.54 / $1,964.20	Professional		$1,029.90	$1,418.54	$1,964.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $780.93 / $1,438.41 / $1,699.60	Professional		$780.93	$1,438.41	$1,699.60