Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.59 / $155.93 / $183.45	Facility		$137.59	$155.93	$183.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $91.05 / $91.05	Professional		$91.05	$91.05	$91.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $143.54 / $143.54	Facility		$143.54	$143.54	$143.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $342.36 / $713.52	Professional		$168.98	$342.36	$713.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $710.78 / $916.30	Professional		$64.81	$710.78	$916.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $163.07 / $190.25	Professional		$149.47	$163.07	$190.25
United Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $183.45 / $235.73	Professional		$77.83	$183.45	$235.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $334.66 / $814.97	Professional		$168.32	$334.66	$814.97