Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $140.69	Facility		$32.36	$32.36	$140.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.13 / $55.23	Professional		$20.42	$21.13	$55.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $153.34	Facility		$32.36	$32.36	$153.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $66.00 / $107.04	Professional		$30.40	$66.00	$107.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $31.56 / $37.24	Professional		$27.79	$31.56	$37.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $73.70 / $83.75	Professional		$67.00	$73.70	$83.75
United Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $64.00 / $86.91	Professional		$39.47	$64.00	$86.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $81.78 / $250.00	Professional		$43.93	$81.78	$250.00