Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $47.75 / $61.28	Facility		$42.13	$47.75	$61.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $58.46 / $58.46	Professional		$58.46	$58.46	$58.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $61.28 / $61.28	Professional		$61.28	$61.28	$61.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $86.40 / $100.68	Professional		$73.22	$86.40	$100.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $61.28 / $71.50	Professional		$56.18	$61.28	$71.50
United Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $61.28 / $76.61	Professional		$51.07	$61.28	$76.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $75.06 / $114.91	Professional		$43.41	$75.06	$114.91