Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $94.55 / $121.34	Facility		$83.42	$94.55	$121.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $158.90 / $158.90	Professional		$158.90	$158.90	$158.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $121.34 / $121.34	Professional		$121.34	$121.34	$121.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $184.84 / $215.38	Professional		$156.63	$184.84	$215.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $121.34 / $141.57	Professional		$111.23	$121.34	$141.57
United Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $121.34 / $151.68	Professional		$101.12	$121.34	$151.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $148.65 / $227.52	Professional		$85.95	$148.65	$227.52