Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.72 / $173.09 / $222.14	Facility		$152.72	$173.09	$222.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.23 / $1,048.23 / $1,048.23	Professional		$1,048.23	$1,048.23	$1,048.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.14 / $222.14 / $222.14	Professional		$222.14	$222.14	$222.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,747.04 / $1,921.74 / $2,402.17	Professional		$1,747.04	$1,921.74	$2,402.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.63 / $222.14 / $259.17	Professional		$203.63	$222.14	$259.17
United Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $222.14 / $277.68	Professional		$185.12	$222.14	$277.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $231.40 / $333.22	Professional		$129.58	$231.40	$333.22