Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $134.74 / $159.97	Professional		$134.74	$134.74	$159.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $139.79 / $139.79	Professional		$139.79	$139.79	$139.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $201.00 / $210.47	Professional		$178.90	$201.00	$210.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $139.79 / $163.09	Professional		$128.13	$139.79	$163.09
United Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $139.79 / $226.13	Professional		$97.18	$139.79	$226.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $209.97 / $292.99	Professional		$130.47	$209.97	$292.99