Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $57.77 / $57.77	Professional		$57.77	$57.77	$57.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $140.10 / $140.10	Facility		$140.10	$140.10	$140.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $194.00 / $194.00	Professional		$99.25	$194.00	$194.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $176.36 / $184.67 / $184.67	Professional		$176.36	$184.67	$184.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $176.36 / $246.90	Professional		$105.82	$176.36	$246.90
United Facility/Professional Facility Modifier Low / Median / High Price $84.70 / $84.70 / $84.70	Facility		$84.70	$84.70	$84.70
United Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $140.10 / $194.00	Professional		$95.58	$140.10	$194.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $142.07 / $167.87	Professional		$77.13	$142.07	$167.87