Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $125.61 / $125.61	Professional		$120.74	$125.61	$125.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.49 / $217.49 / $217.49	Facility		$217.49	$217.49	$217.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $301.17 / $301.17	Professional		$125.61	$301.17	$301.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $273.79 / $286.69 / $286.69	Professional		$273.79	$286.69	$286.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $273.79 / $383.31	Professional		$191.65	$273.79	$383.31
United Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $217.49 / $301.17	Professional		$117.79	$217.49	$301.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $195.96 / $228.10 / $260.58	Professional		$195.96	$228.10	$260.58