Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $20.30 / $20.30	Professional		$20.30	$20.30	$20.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $35.54 / $71.69	Professional		$27.35	$35.54	$71.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.70 / $16.26	Professional		$11.87	$14.70	$16.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $140.82 / $164.29	Professional		$129.09	$140.82	$164.29
United Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $63.34 / $172.17	Professional		$47.98	$63.34	$172.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $120.05 / $181.09	Professional		$15.39	$120.05	$181.09