Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.15 / $198.51 / $233.54	Facility		$175.15	$198.51	$233.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $118.94 / $118.94	Professional		$118.94	$118.94	$118.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.01 / $183.01 / $183.01	Facility		$183.01	$183.01	$183.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.15 / $324.57 / $711.12	Professional		$168.15	$324.57	$711.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $715.21 / $916.30	Professional		$65.59	$715.21	$916.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.29 / $207.59 / $242.19	Professional		$190.29	$207.59	$242.19
United Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $233.54 / $305.43	Professional		$101.17	$233.54	$305.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $327.83 / $808.88	Professional		$193.80	$327.83	$808.88