Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.30 / $421.30 / $421.30	Professional		$421.30	$421.30	$421.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.33 / $1,116.33 / $1,116.33	Facility		$1,116.33	$1,116.33	$1,116.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.98 / $1,545.76 / $1,545.76	Professional		$751.98	$1,545.76	$1,545.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,405.24 / $1,471.45 / $1,471.45	Professional		$1,405.24	$1,471.45	$1,471.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.14 / $1,405.24 / $1,967.34	Professional		$843.14	$1,405.24	$1,967.34
United Facility/Professional Facility Modifier Low / Median / High Price $479.78 / $479.78 / $484.89	Facility		$479.78	$479.78	$484.89
United Facility/Professional Professional Modifier Low / Median / High Price $688.61 / $1,116.33 / $1,545.76	Professional		$688.61	$1,116.33	$1,545.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $614.54 / $1,131.96 / $1,337.52	Professional		$614.54	$1,131.96	$1,337.52