Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $121.36 / $121.36	Professional		$121.36	$121.36	$121.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $145.69 / $153.47	Professional		$145.69	$145.69	$153.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $165.31 / $190.20 / $2,540.00	Professional		$165.31	$190.20	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.21 / $139.86 / $163.16	Professional		$128.21	$139.86	$163.16
United Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $145.69 / $185.24	Professional		$118.88	$145.69	$185.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $1,500.00 / $3,725.00	Professional		$154.63	$1,500.00	$3,725.00