Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.94 / $877.94 / $877.94	Professional		$877.94	$877.94	$877.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,897.88 / $1,897.88 / $1,897.88	Facility		$1,897.88	$1,897.88	$1,897.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $2,627.93	Professional		$1,366.32	$1,366.32	$2,627.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,389.03 / $2,501.60 / $2,501.60	Professional		$2,389.03	$2,501.60	$2,501.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,672.32 / $2,389.03 / $3,344.64	Professional		$1,672.32	$2,389.03	$3,344.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.54 / $2,233.73 / $2,627.93	Professional		$1,563.54	$2,233.73	$2,627.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,924.46 / $1,990.41 / $2,273.92	Professional		$1,924.46	$1,990.41	$2,273.92