Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $269.27 / $269.27	Professional		$269.27	$269.27	$269.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.78 / $907.78 / $907.78	Facility		$907.78	$907.78	$907.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.25 / $494.25 / $1,256.98	Professional		$494.25	$494.25	$1,256.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,142.71 / $1,196.55 / $1,196.55	Professional		$1,142.71	$1,196.55	$1,196.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.63 / $1,142.71 / $1,599.79	Professional		$685.63	$1,142.71	$1,599.79
United Facility/Professional Professional Modifier Low / Median / High Price $526.15 / $907.78 / $1,256.98	Professional		$526.15	$907.78	$1,256.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $494.79 / $920.50 / $1,087.65	Professional		$494.79	$920.50	$1,087.65