Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $29.96 / $29.96	Professional		$29.96	$29.96	$29.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.29 / $135.29 / $135.29	Facility		$135.29	$135.29	$135.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $187.32	Professional		$65.90	$65.90	$187.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $178.31 / $178.31	Professional		$170.29	$178.31	$178.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $170.29 / $238.41	Professional		$102.17	$170.29	$238.41
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $135.29 / $187.32	Professional		$67.18	$135.29	$187.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $137.18 / $162.09	Professional		$74.48	$137.18	$162.09