Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.22 / $441.22 / $441.22	Professional		$441.22	$441.22	$441.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,281.53 / $1,281.53 / $1,281.53	Facility		$1,281.53	$1,281.53	$1,281.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.97 / $620.97 / $1,774.48	Professional		$620.97	$620.97	$1,774.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,613.16 / $1,689.17 / $1,689.17	Professional		$1,613.16	$1,689.17	$1,689.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.90 / $1,613.16 / $2,258.42	Professional		$967.90	$1,613.16	$2,258.42
United Facility/Professional Professional Modifier Low / Median / High Price $758.69 / $1,281.53 / $1,774.48	Professional		$758.69	$1,281.53	$1,774.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $705.50 / $1,299.47 / $1,535.43	Professional		$705.50	$1,299.47	$1,535.43