Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $62.98 / $80.83	Facility		$55.57	$62.98	$80.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $80.83 / $80.83	Professional		$53.40	$80.83	$80.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $131.36 / $159.85	Professional		$103.47	$131.36	$159.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $80.83 / $101.04	Professional		$67.36	$80.83	$101.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $80.83 / $130.74	Professional		$28.29	$80.83	$130.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $124.02 / $169.40	Professional		$57.26	$124.02	$169.40