Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.92 / $712.92 / $712.92	Professional		$712.92	$712.92	$712.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,389.68 / $1,389.68 / $1,389.68	Facility		$1,389.68	$1,389.68	$1,389.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,924.24	Professional		$1,254.96	$1,254.96	$1,924.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,749.31 / $1,831.74 / $1,831.74	Professional		$1,749.31	$1,831.74	$1,831.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,049.58 / $1,749.31 / $2,449.03	Professional		$1,049.58	$1,749.31	$2,449.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.71 / $1,613.06 / $1,924.24	Professional		$1,136.71	$1,613.06	$1,924.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $765.02 / $1,409.14 / $1,665.02	Professional		$765.02	$1,409.14	$1,665.02