Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.97 / $212.50 / $324.00	Facility		$134.97	$212.50	$324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $111.75 / $156.65	Professional		$62.90	$111.75	$156.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.61 / $228.61 / $228.61	Facility		$228.61	$228.61	$228.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $93.99 / $130.54	Professional		$61.78	$93.99	$130.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $108.33 / $116.27	Professional		$82.08	$108.33	$116.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $114.87 / $130.54	Professional		$104.43	$114.87	$130.54
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $130.54 / $140.18	Professional		$78.93	$130.54	$140.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $124.63 / $257.50	Professional		$92.53	$124.63	$257.50