Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $47.53 / $162.32	Facility		$27.68	$47.53	$162.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $26.26 / $85.00	Professional		$22.20	$26.26	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $35.52 / $35.52	Professional		$23.56	$35.52	$35.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $63.52 / $74.30	Professional		$48.16	$63.52	$74.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $35.52 / $42.50	Professional		$29.60	$35.52	$42.50
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $35.52 / $57.47	Professional		$12.43	$35.52	$57.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $53.35 / $74.45	Professional		$29.60	$53.35	$74.45