Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $28.84	Facility		$19.95	$23.99	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $51.29	Professional		$12.88	$21.88	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $28.84	Professional		$13.80	$13.80	$28.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $37.15	Professional		$26.30	$33.88	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $36.31	Professional		$23.99	$28.84	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $28.84 / $36.31	Professional		$10.00	$28.84	$36.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $41.69	Professional		$22.39	$30.20	$41.69