Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $309.03	Facility		$213.80	$257.04	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $218.78 / $398.11	Professional		$77.62	$218.78	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $309.03	Professional		$181.97	$204.17	$309.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $630.96	Professional		$446.68	$575.44	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $389.05	Professional		$281.84	$309.03	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $309.03 / $501.19	Professional		$53.70	$309.03	$501.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $630.96	Professional		$288.40	$457.09	$630.96