Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.66 / $449.66 / $449.66	Professional		$449.66	$449.66	$449.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.68 / $1,091.68 / $1,091.68	Facility		$1,091.68	$1,091.68	$1,091.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.38 / $702.38 / $1,511.62	Professional		$702.38	$702.38	$1,511.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,374.20 / $1,438.95 / $1,438.95	Professional		$1,374.20	$1,438.95	$1,438.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.52 / $1,374.20 / $1,923.88	Professional		$824.52	$1,374.20	$1,923.88
United Facility/Professional Professional Modifier Low / Median / High Price $858.14 / $1,091.68 / $1,511.62	Professional		$858.14	$1,091.68	$1,511.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $600.99 / $1,106.96 / $1,307.98	Professional		$600.99	$1,106.96	$1,307.98