Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.34 / $185.12 / $237.59	Facility		$163.34	$185.12	$237.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $104.24 / $104.24	Professional		$104.24	$104.24	$104.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.59 / $237.59 / $237.59	Professional		$237.59	$237.59	$237.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $272.14 / $321.14 / $374.21	Professional		$272.14	$321.14	$374.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.79 / $237.59 / $277.19	Professional		$217.79	$237.59	$277.19
United Facility/Professional Professional Modifier Low / Median / High Price $237.59 / $270.11 / $384.32	Professional		$237.59	$270.11	$384.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $247.49 / $445.48	Professional		$168.29	$247.49	$445.48