Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $309.03	Facility		$218.78	$251.19	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $245.47	Professional		$162.18	$229.09	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $309.03	Professional		$102.33	$165.96	$309.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $338.84	Professional		$186.21	$263.03	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $331.13	Professional		$263.03	$281.84	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $380.19	Professional		$151.36	$309.03	$380.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $512.86	Professional		$218.78	$363.08	$512.86