Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.67 / $315.67 / $315.67	Professional		$315.67	$315.67	$315.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.48 / $640.48 / $640.48	Facility		$640.48	$640.48	$640.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.56 / $402.56 / $886.88	Professional		$402.56	$402.56	$886.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $806.25 / $844.24 / $844.24	Professional		$806.25	$844.24	$844.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.75 / $806.25 / $1,128.75	Professional		$483.75	$806.25	$1,128.75
United Facility/Professional Professional Modifier Low / Median / High Price $502.92 / $640.48 / $886.88	Professional		$502.92	$640.48	$886.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $352.59 / $649.46 / $767.40	Professional		$352.59	$649.46	$767.40