Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $102.51 / $102.51	Professional		$102.51	$102.51	$102.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $653.64 / $653.64 / $653.64	Facility		$653.64	$653.64	$653.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $905.07 / $905.07	Professional		$141.12	$905.07	$905.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $822.79 / $861.56 / $861.56	Professional		$822.79	$861.56	$861.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $822.79 / $1,151.91	Professional		$493.67	$822.79	$1,151.91
United Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $653.64 / $905.07	Professional		$132.32	$653.64	$905.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $359.84 / $662.80 / $783.15	Professional		$359.84	$662.80	$783.15