Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.37 / $272.42 / $349.63	Facility		$240.37	$272.42	$349.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Professional		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.63 / $349.63 / $349.63	Professional		$349.63	$349.63	$349.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $346.92 / $404.25	Professional		$294.00	$346.92	$404.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.50 / $349.63 / $407.90	Professional		$320.50	$349.63	$407.90
United Facility/Professional Professional Modifier Low / Median / High Price $291.80 / $349.63 / $437.04	Professional		$291.80	$349.63	$437.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $428.30 / $655.56	Professional		$247.66	$428.30	$655.56