Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $52.70 / $52.70	Facility		$52.70	$52.70	$52.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $46.89 / $72.95	Professional		$46.89	$46.89	$72.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $69.45 / $69.45	Professional		$66.33	$69.45	$69.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $66.33 / $92.86	Professional		$46.43	$66.33	$92.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $65.67 / $366.00	Professional		$40.36	$65.67	$366.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $55.27 / $63.14	Professional		$47.48	$55.27	$63.14