Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.53 / $117.33 / $150.59	Facility		$103.53	$117.33	$150.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $144.16 / $172.33	Professional		$120.62	$144.16	$172.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $150.59 / $150.59	Professional		$98.94	$150.59	$150.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $253.76 / $295.70	Professional		$215.05	$253.76	$295.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $150.59 / $175.69	Professional		$138.04	$150.59	$175.69
United Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $188.24 / $241.95	Professional		$150.59	$188.24	$241.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $224.64 / $313.45	Professional		$140.55	$224.64	$313.45