Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $106.39 / $142.66	Professional		$85.83	$106.39	$142.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $138.08	Professional		$60.08	$60.08	$138.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $141.36 / $141.36	Professional		$135.00	$141.36	$141.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $175.74 / $175.74	Professional		$175.74	$175.74	$175.74
United Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $89.22 / $156.57	Professional		$48.89	$89.22	$156.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $109.92 / $119.48	Professional		$104.59	$109.92	$119.48