Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.13 / $119.15 / $152.91	Facility		$105.13	$119.15	$152.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $162.19 / $162.19	Professional		$162.19	$162.19	$162.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $152.91 / $152.91	Professional		$152.91	$152.91	$152.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $180.63 / $210.49	Professional		$153.08	$180.63	$210.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $152.91 / $178.40	Professional		$140.16	$152.91	$178.40
United Facility/Professional Professional Modifier Low / Median / High Price $151.93 / $152.91 / $216.17	Professional		$151.93	$152.91	$216.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $229.37 / $286.72	Professional		$108.32	$229.37	$286.72