Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.83 / $159.83 / $159.83	Professional		$159.83	$159.83	$159.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.72 / $513.72 / $513.72	Facility		$513.72	$513.72	$513.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.77 / $271.77 / $711.35	Professional		$271.77	$271.77	$711.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $646.67 / $677.15 / $677.15	Professional		$646.67	$677.15	$677.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.01 / $646.67 / $905.35	Professional		$388.01	$646.67	$905.35
United Facility/Professional Professional Modifier Low / Median / High Price $332.04 / $513.72 / $711.35	Professional		$332.04	$513.72	$711.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $520.91 / $615.52	Professional		$282.81	$520.91	$615.52