Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $61.66	Facility		$42.66	$51.29	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $79.43	Professional		$28.18	$43.65	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $61.66	Professional		$36.31	$40.74	$61.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $120.23	Professional		$85.11	$120.23	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $77.62	Professional		$56.23	$61.66	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $61.66 / $100.00	Professional		$19.95	$61.66	$100.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $114.82	Professional		$43.65	$69.18	$114.82