Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $87.13 / $87.13	Professional		$87.13	$87.13	$87.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.92 / $360.92 / $360.92	Facility		$360.92	$360.92	$360.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $499.77 / $499.77	Professional		$159.91	$499.77	$499.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $454.34 / $475.75 / $475.75	Professional		$454.34	$475.75	$475.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.60 / $454.34 / $636.08	Professional		$272.60	$454.34	$636.08
United Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $360.92 / $499.77	Professional		$200.63	$360.92	$499.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $365.98 / $432.45	Professional		$198.70	$365.98	$432.45