Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.51 / $112.51 / $147.66	Professional		$112.51	$112.51	$147.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.57 / $203.25 / $243.90	Professional		$156.57	$203.25	$243.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $204.22 / $245.65	Professional		$175.28	$204.22	$245.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.08 / $172.36 / $203.25	Professional		$124.08	$172.36	$203.25
United Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $203.25 / $257.69	Professional		$158.91	$203.25	$257.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $135.87 / $214.87	Professional		$29.27	$135.87	$214.87