Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $110.31 / $110.31	Professional		$110.31	$110.31	$110.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.81 / $318.81 / $318.81	Facility		$318.81	$318.81	$318.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $194.51 / $441.45	Professional		$194.51	$194.51	$441.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $401.32 / $420.23 / $420.23	Professional		$401.32	$420.23	$420.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.79 / $401.32 / $561.85	Professional		$240.79	$401.32	$561.85
United Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $318.81 / $441.45	Professional		$171.88	$318.81	$441.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $323.27 / $381.98	Professional		$175.50	$323.27	$381.98