Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.31 / $931.31 / $931.31	Professional		$931.31	$931.31	$931.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,563.85 / $1,563.85 / $1,563.85	Facility		$1,563.85	$1,563.85	$1,563.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $2,165.39	Professional		$1,367.82	$1,367.82	$2,165.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,968.54 / $2,061.30 / $2,061.30	Professional		$1,968.54	$2,061.30	$2,061.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.11 / $1,968.54 / $2,755.96	Professional		$1,181.11	$1,968.54	$2,755.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,382.74 / $1,382.74 / $1,382.74	Facility		$1,382.74	$1,382.74	$1,382.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,371.90 / $1,699.46 / $2,455.21	Professional		$1,371.90	$1,699.46	$2,455.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $860.92 / $1,585.74 / $1,873.68	Professional		$860.92	$1,585.74	$1,873.68