Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.28 / $767.28 / $767.28	Professional		$767.28	$767.28	$767.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,009.88 / $2,009.88 / $2,009.88	Facility		$2,009.88	$2,009.88	$2,009.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $2,783.01	Professional		$1,606.19	$1,606.19	$2,783.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,530.01 / $2,649.22 / $2,649.22	Professional		$2,530.01	$2,649.22	$2,649.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,518.01 / $2,530.01 / $3,542.01	Professional		$1,518.01	$2,530.01	$3,542.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.82 / $2,009.88 / $2,783.01	Professional		$1,470.82	$2,009.88	$2,783.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,106.46 / $2,038.02 / $2,408.10	Professional		$1,106.46	$2,038.02	$2,408.10