Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $213.39 / $256.00	Professional		$128.25	$213.39	$256.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.35 / $185.35 / $185.35	Facility		$185.35	$185.35	$185.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $152.55 / $256.63	Professional		$152.55	$152.55	$256.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $244.29 / $244.29	Professional		$233.30	$244.29	$244.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $233.30 / $326.62	Professional		$139.97	$233.30	$326.62
United Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $185.35 / $256.63	Professional		$116.90	$185.35	$256.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $187.94 / $222.06	Professional		$109.14	$187.94	$222.06