Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.88 / $219.88 / $219.88	Professional		$219.88	$219.88	$219.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.26 / $472.26 / $472.26	Facility		$472.26	$472.26	$472.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.82 / $499.82 / $653.91	Professional		$499.82	$499.82	$653.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $594.47 / $622.48 / $622.48	Professional		$594.47	$622.48	$622.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.68 / $594.47 / $832.26	Professional		$356.68	$594.47	$832.26
United Facility/Professional Facility Modifier Low / Median / High Price $392.04 / $392.04 / $392.04	Facility		$392.04	$392.04	$392.04
United Facility/Professional Professional Modifier Low / Median / High Price $414.29 / $481.84 / $653.91	Professional		$414.29	$481.84	$653.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $259.99 / $478.87 / $565.83	Professional		$259.99	$478.87	$565.83