Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.06 / $936.06 / $936.06	Facility		$936.06	$936.06	$936.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $262.30	Professional		$238.46	$238.46	$262.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.06 / $936.06 / $936.06	Facility		$936.06	$936.06	$936.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $306.38	Professional		$238.46	$238.46	$306.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $317.87 / $317.87 / $317.87	Professional		$317.87	$317.87	$317.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $286.14 / $357.68	Professional		$238.46	$286.14	$357.68
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $260.43 / $357.69	Professional		$238.46	$260.43	$357.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $328.48 / $4,815.97	Professional		$145.60	$328.48	$4,815.97