Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.11 / $291.11 / $291.11	Professional		$291.11	$291.11	$291.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.30 / $629.30 / $629.30	Facility		$629.30	$629.30	$629.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.23 / $525.23 / $871.40	Professional		$525.23	$525.23	$871.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $792.18 / $829.51 / $829.51	Professional		$792.18	$829.51	$829.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.53 / $792.18 / $1,109.05	Professional		$554.53	$792.18	$1,109.05
United Facility/Professional Professional Modifier Low / Median / High Price $518.44 / $740.69 / $871.40	Professional		$518.44	$740.69	$871.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $638.12 / $660.00 / $754.01	Professional		$638.12	$660.00	$754.01