Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.59 / $1,083.59 / $2,167.19	Facility		$1,083.59	$1,083.59	$2,167.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $692.20 / $798.38	Professional		$18.47	$692.20	$798.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $610.54	Professional		$291.51	$291.51	$610.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $638.74 / $638.74	Professional		$610.00	$638.74	$638.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $670.00 / $670.00	Professional		$670.00	$670.00	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.85 / $636.29 / $636.29	Professional		$540.85	$636.29	$636.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $618.33 / $618.33 / $680.16	Professional		$618.33	$618.33	$680.16