Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $398.23 / $398.23	Professional		$398.23	$398.23	$398.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.20 / $1,111.20 / $1,111.20	Facility		$1,111.20	$1,111.20	$1,111.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.29 / $875.29 / $1,538.66	Professional		$875.29	$875.29	$1,538.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,398.78 / $1,464.69 / $1,464.69	Professional		$1,398.78	$1,464.69	$1,464.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.27 / $1,398.78 / $1,958.29	Professional		$839.27	$1,398.78	$1,958.29
United Facility/Professional Professional Modifier Low / Median / High Price $827.31 / $1,111.20 / $1,538.66	Professional		$827.31	$1,111.20	$1,538.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $611.73 / $1,126.77 / $1,331.38	Professional		$611.73	$1,126.77	$1,331.38