Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.95 / $319.95 / $319.95	Professional		$319.95	$319.95	$319.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $77.37 / $77.37	Facility		$77.37	$77.37	$77.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $83.06 / $110.34	Professional		$62.18	$83.06	$110.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $90.89 / $102.21	Professional		$30.40	$90.89	$102.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $32.40 / $37.81	Professional		$29.71	$32.40	$37.81
United Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $795.09 / $867.47	Professional		$269.52	$795.09	$867.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $43.54 / $116.09	Professional		$25.18	$43.54	$116.09