Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $102.53 / $102.53	Professional		$102.53	$102.53	$102.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.44 / $534.44 / $534.44	Facility		$534.44	$534.44	$534.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.19 / $188.19 / $740.04	Professional		$188.19	$188.19	$740.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $672.76 / $704.46 / $704.46	Professional		$672.76	$704.46	$704.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $672.76 / $941.86	Professional		$403.66	$672.76	$941.86
United Facility/Professional Professional Modifier Low / Median / High Price $229.92 / $534.44 / $740.04	Professional		$229.92	$534.44	$740.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $294.22 / $541.92 / $640.34	Professional		$294.22	$541.92	$640.34