Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.72 / $164.01 / $192.96	Facility		$144.72	$164.01	$192.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $128.07 / $128.07	Professional		$128.07	$128.07	$128.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $114.52 / $306.58	Professional		$114.52	$114.52	$306.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $189.14 / $263.51	Professional		$32.22	$189.14	$263.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.22 / $171.52 / $178.66	Professional		$157.22	$171.52	$178.66
United Facility/Professional Professional Modifier Low / Median / High Price $191.66 / $192.96 / $321.06	Professional		$191.66	$192.96	$321.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $233.00 / $431.78	Professional		$161.63	$233.00	$431.78