Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.49 / $166.02 / $213.07	Facility		$146.49	$166.02	$213.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $213.07 / $213.07	Professional		$97.37	$213.07	$213.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $200.64 / $221.95	Professional		$167.34	$200.64	$221.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $213.07 / $266.33	Professional		$177.56	$213.07	$266.33
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $213.07 / $266.33	Professional		$74.58	$213.07	$266.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $261.01 / $435.02	Professional		$150.93	$261.01	$435.02