Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.85 / $530.85 / $530.85	Professional		$530.85	$530.85	$530.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,673.08 / $1,673.08 / $1,673.08	Facility		$1,673.08	$1,673.08	$1,673.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.63 / $902.63 / $2,316.67	Professional		$902.63	$902.63	$2,316.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,106.06 / $2,205.30 / $2,205.30	Professional		$2,106.06	$2,205.30	$2,205.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.64 / $2,106.06 / $2,948.48	Professional		$1,263.64	$2,106.06	$2,948.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.09 / $1,673.08 / $2,316.67	Professional		$1,201.09	$1,673.08	$2,316.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $921.05 / $1,696.51 / $2,004.58	Professional		$921.05	$1,696.51	$2,004.58