Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.51 / $79.51 / $80.56	Facility		$79.51	$79.51	$80.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $11.35 / $11.35	Professional		$11.35	$11.35	$11.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $51.27 / $51.27	Facility		$51.27	$51.27	$51.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $21.75 / $21.75	Professional		$21.75	$21.75	$21.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.63 / $15.90	Professional		$12.49	$13.63	$15.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $17.04 / $17.88	Professional		$11.36	$17.04	$17.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $30.21 / $94.03	Professional		$12.86	$30.21	$94.03