Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.43 / $180.69 / $231.90	Facility		$159.43	$180.69	$231.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $102.42 / $102.42	Professional		$102.42	$102.42	$102.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $231.90 / $231.90	Professional		$108.76	$231.90	$231.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $222.75 / $246.40	Professional		$193.25	$222.75	$246.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.58 / $231.90 / $270.55	Professional		$212.58	$231.90	$270.55
United Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $231.90 / $289.88	Professional		$193.25	$231.90	$289.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $260.89 / $434.81	Professional		$164.26	$260.89	$434.81