Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.65 / $389.65 / $389.65	Professional		$389.65	$389.65	$389.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.36 / $782.36 / $782.36	Facility		$782.36	$782.36	$782.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.49 / $583.49 / $1,083.30	Professional		$583.49	$583.49	$1,083.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $984.82 / $1,031.22 / $1,031.22	Professional		$984.82	$1,031.22	$1,031.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.89 / $984.82 / $1,378.75	Professional		$590.89	$984.82	$1,378.75
United Facility/Professional Professional Modifier Low / Median / High Price $553.15 / $782.36 / $1,083.30	Professional		$553.15	$782.36	$1,083.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $430.71 / $793.31 / $937.37	Professional		$430.71	$793.31	$937.37