Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.32 / $522.28 / $522.28	Facility		$246.32	$522.28	$522.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $128.34 / $169.41	Professional		$123.35	$128.34	$169.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.32 / $246.32 / $246.32	Facility		$246.32	$246.32	$246.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.01 / $167.01 / $167.01	Professional		$167.01	$167.01	$167.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $148.03 / $172.71	Professional		$135.69	$148.03	$172.71
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $137.26 / $185.04	Professional		$123.36	$137.26	$185.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $133.12 / $158.79	Professional		$91.33	$133.12	$158.79