Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $94.35 / $94.35	Professional		$94.35	$94.35	$94.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.69 / $207.69 / $207.69	Facility		$207.69	$207.69	$207.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $287.58 / $287.58	Professional		$126.98	$287.58	$287.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $261.44 / $273.76 / $273.76	Professional		$261.44	$273.76	$273.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $261.44 / $366.02	Professional		$156.86	$261.44	$366.02
United Facility/Professional Professional Modifier Low / Median / High Price $140.21 / $207.69 / $287.58	Professional		$140.21	$207.69	$287.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $210.60 / $248.84	Professional		$114.34	$210.60	$248.84