Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $59.80 / $76.75	Facility		$52.77	$59.80	$76.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $45.00 / $87.83	Professional		$19.17	$45.00	$87.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $76.75 / $76.75	Professional		$76.75	$76.75	$76.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $66.97 / $79.95	Professional		$63.96	$66.97	$79.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $76.75 / $89.54	Professional		$70.36	$76.75	$89.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $76.75 / $95.94	Professional		$63.96	$76.75	$95.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $79.95 / $115.13	Professional		$44.77	$79.95	$115.13