Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.83 / $114.28 / $146.66	Facility		$100.83	$114.28	$146.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $79.97 / $79.97	Professional		$79.97	$79.97	$79.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $146.66 / $146.66	Professional		$82.26	$146.66	$146.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $198.24 / $231.00	Professional		$168.00	$198.24	$231.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $146.66 / $171.11	Professional		$134.44	$146.66	$171.11
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $150.88 / $183.33	Professional		$146.66	$150.88	$183.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $179.66 / $275.00	Professional		$103.89	$179.66	$275.00