Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.97 / $199.44 / $255.96	Facility		$175.97	$199.44	$255.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.45 / $343.45 / $343.45	Professional		$343.45	$343.45	$343.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.96 / $255.96 / $255.96	Professional		$255.96	$255.96	$255.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.15 / $210.19 / $223.35	Professional		$168.15	$210.19	$223.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.63 / $255.96 / $298.62	Professional		$234.63	$255.96	$298.62
United Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $255.96 / $319.95	Professional		$151.71	$255.96	$319.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $313.55 / $727.31	Professional		$181.31	$313.55	$727.31