Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $218.78	Professional		$93.33	$141.25	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $199.53	Professional		$100.00	$154.88	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $239.88	Professional		$173.78	$208.93	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $213.80	Professional		$112.20	$169.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $223.87	Professional		$114.82	$162.18	$223.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $141.25 / $218.78	Professional		$29.51	$141.25	$218.78