Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $69.78 / $94.08	Professional		$58.18	$69.78	$94.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $130.19 / $156.22	Professional		$98.73	$130.19	$156.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $127.38 / $154.87	Professional		$107.72	$127.38	$154.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $110.40 / $130.19	Professional		$74.09	$110.40	$130.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $130.19 / $160.05	Professional		$99.06	$130.19	$160.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $89.96 / $135.46	Professional		$29.27	$89.96	$135.46