Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.94 / $261.43	Facility		$19.95	$23.94	$261.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $26.60 / $26.60	Professional		$26.60	$26.60	$26.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $29.02 / $29.02	Professional		$19.23	$29.02	$29.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $51.90 / $60.70	Professional		$39.35	$51.90	$60.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $29.02 / $36.27	Professional		$24.18	$29.02	$36.27
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $29.02 / $46.94	Professional		$10.16	$29.02	$46.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $43.93 / $60.82	Professional		$27.08	$43.93	$60.82