Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.21 / $175.90 / $206.94	Facility		$155.21	$175.90	$206.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $104.47 / $104.47	Professional		$104.47	$104.47	$104.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.54 / $165.54 / $165.54	Facility		$165.54	$165.54	$165.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.30 / $348.92 / $732.64	Professional		$181.30	$348.92	$732.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $732.81 / $916.30	Professional		$86.90	$732.81	$916.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $183.95 / $214.61	Professional		$168.62	$183.95	$214.61
United Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $206.94 / $259.05	Professional		$87.99	$206.94	$259.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $264.58 / $834.20	Professional		$189.84	$264.58	$834.20