Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.61 / $152.61 / $152.61	Facility		$152.61	$152.61	$152.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $51.29 / $76.00	Professional		$40.04	$51.29	$76.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.82 / $158.82 / $158.82	Facility		$158.82	$158.82	$158.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $54.88 / $91.03	Professional		$34.06	$54.88	$91.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $75.41 / $80.91	Professional		$44.46	$75.41	$80.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $79.94 / $90.84	Professional		$72.67	$79.94	$90.84
United Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $76.36 / $97.01	Professional		$54.24	$76.36	$97.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $88.13 / $250.00	Professional		$64.29	$88.13	$250.00