Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $79.43	Professional		$37.15	$47.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $112.20	Professional		$41.69	$61.66	$112.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $91.20	Professional		$69.18	$87.10	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $89.13	Professional		$69.18	$75.86	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $109.65	Professional		$60.26	$77.62	$109.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $120.23	Professional		$56.23	$87.10	$120.23