Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $58.40 / $220.19	Facility		$28.95	$58.40	$220.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $38.60 / $48.18	Professional		$22.81	$38.60	$48.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $27.88 / $27.88	Professional		$27.88	$27.88	$27.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $71.45 / $83.26	Professional		$57.06	$71.45	$83.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $42.11 / $49.13	Professional		$38.60	$42.11	$49.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $49.04 / $68.12	Professional		$42.11	$49.04	$68.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $64.62 / $88.27	Professional		$51.49	$64.62	$88.27