Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.89 / $190.27 / $244.20	Facility		$167.89	$190.27	$244.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $173.50 / $173.50	Professional		$173.50	$173.50	$173.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $244.20 / $244.20	Professional		$244.20	$244.20	$244.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $210.47 / $245.67 / $307.08	Professional		$210.47	$245.67	$307.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.85 / $244.20 / $284.89	Professional		$223.85	$244.20	$284.89
United Facility/Professional Professional Modifier Low / Median / High Price $221.66 / $244.20 / $315.39	Professional		$221.66	$244.20	$315.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $299.14 / $619.64	Professional		$172.98	$299.14	$619.64