Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $123.82 / $123.82	Professional		$123.82	$123.82	$123.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $386.84	Facility		$386.84	$386.84	$386.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.51 / $203.51 / $535.65	Professional		$203.51	$203.51	$535.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $486.95 / $509.90 / $509.90	Professional		$486.95	$509.90	$509.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.17 / $486.95 / $681.73	Professional		$292.17	$486.95	$681.73
United Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $386.84 / $535.65	Professional		$192.92	$386.84	$535.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $392.26 / $463.49	Professional		$212.97	$392.26	$463.49