Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $89.89 / $172.80	Facility		$89.89	$89.89	$172.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $29.00 / $65.23	Professional		$11.50	$29.00	$65.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $54.65 / $87.01	Professional		$12.66	$54.65	$87.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $61.50 / $70.73	Professional		$53.58	$61.50	$70.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $59.37 / $67.45	Professional		$12.76	$59.37	$67.45
United Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $65.84 / $86.15	Professional		$48.57	$65.84	$86.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $60.05 / $71.83	Professional		$10.91	$60.05	$71.83