Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.97 / $245.90 / $315.58	Facility		$216.97	$245.90	$315.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $238.73 / $361.16	Professional		$191.54	$238.73	$361.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $315.58 / $315.58	Professional		$159.41	$315.58	$315.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $339.64 / $425.27 / $495.55	Professional		$339.64	$425.27	$495.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.29 / $315.58 / $368.19	Professional		$289.29	$315.58	$368.19
United Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $315.58 / $414.30	Professional		$290.45	$315.58	$414.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $386.60 / $712.31	Professional		$223.54	$386.60	$712.31