Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.03 / $128.10 / $164.40	Facility		$113.03	$128.10	$164.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $72.61 / $72.61	Professional		$72.61	$72.61	$72.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $164.40 / $164.40	Professional		$74.59	$164.40	$164.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $161.66 / $188.38	Professional		$137.00	$161.66	$188.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $164.40 / $191.80	Professional		$150.69	$164.40	$191.80
United Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $164.40 / $205.50	Professional		$137.00	$164.40	$205.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $184.95 / $308.25	Professional		$116.45	$184.95	$308.25