Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $47.22 / $47.22	Professional		$47.22	$47.22	$47.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.56 / $189.56 / $189.56	Facility		$189.56	$189.56	$189.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $86.66 / $262.48	Professional		$86.66	$86.66	$262.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $238.62 / $249.86 / $249.86	Professional		$238.62	$249.86	$249.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $238.62 / $334.07	Professional		$143.16	$238.62	$334.07
United Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $189.56 / $262.48	Professional		$105.88	$189.56	$262.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $192.21 / $227.12	Professional		$104.36	$192.21	$227.12