Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $52.21 / $52.21	Facility		$52.21	$52.21	$52.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $46.45 / $72.30	Professional		$46.45	$46.45	$72.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $68.83 / $68.83	Professional		$65.73	$68.83	$68.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $65.73 / $92.02	Professional		$46.01	$65.73	$92.02
United Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $52.21 / $72.30	Professional		$46.45	$52.21	$72.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $57.55 / $62.56	Professional		$52.94	$57.55	$62.56