Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $195.31 / $420.66	Professional		$195.31	$195.31	$420.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.25 / $312.25 / $312.25	Facility		$312.25	$312.25	$312.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $214.16 / $432.36	Professional		$214.16	$214.16	$432.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $393.05 / $411.57 / $411.57	Professional		$393.05	$411.57	$411.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.14 / $393.05 / $550.27	Professional		$275.14	$393.05	$550.27
United Facility/Professional Facility Modifier Low / Median / High Price $154.24 / $154.24 / $158.69	Facility		$154.24	$154.24	$158.69
United Facility/Professional Professional Modifier Low / Median / High Price $259.37 / $389.12 / $490.23	Professional		$259.37	$389.12	$490.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $261.49 / $316.62 / $374.11	Professional		$261.49	$316.62	$374.11