Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.97 / $132.57 / $155.97	Facility		$116.97	$132.57	$155.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $76.79 / $76.79	Professional		$76.79	$76.79	$76.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $120.42 / $120.42	Facility		$120.42	$120.42	$120.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $112.64 / $217.61	Professional		$77.08	$112.64	$217.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $107.02 / $168.26	Professional		$39.81	$107.02	$168.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $138.63 / $161.74	Professional		$127.08	$138.63	$161.74
United Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $155.97 / $200.54	Professional		$64.98	$155.97	$200.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $169.70 / $320.70	Professional		$104.68	$169.70	$320.70