Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $83.43 / $83.43	Professional		$83.43	$83.43	$83.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.46 / $169.46 / $169.46	Facility		$169.46	$169.46	$169.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $126.23 / $234.63	Professional		$126.23	$126.23	$234.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $223.35 / $223.35	Professional		$213.30	$223.35	$223.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $213.30 / $298.62	Professional		$127.98	$213.30	$298.62
United Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $169.46 / $234.63	Professional		$140.32	$169.46	$234.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $171.83 / $203.02	Professional		$93.30	$171.83	$203.02