Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $81.37 / $84.65	Professional		$81.37	$81.37	$84.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.03 / $248.03 / $248.03	Facility		$248.03	$248.03	$248.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $86.88 / $343.46	Professional		$86.88	$86.88	$343.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $312.24 / $326.95 / $326.95	Professional		$312.24	$326.95	$326.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $312.24 / $437.14	Professional		$187.34	$312.24	$437.14
United Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $248.03 / $343.46	Professional		$103.43	$248.03	$343.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.54 / $251.51 / $297.19	Professional		$136.54	$251.51	$297.19