Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.78 / $44.78 / $44.78	Facility		$44.78	$44.78	$44.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.35	Professional		$18.17	$18.17	$18.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $44.77 / $44.77	Facility		$44.77	$44.77	$44.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $24.44 / $24.44	Professional		$24.44	$24.44	$24.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $21.80 / $25.44	Professional		$19.98	$21.80	$25.44
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $20.09 / $27.26	Professional		$18.17	$20.09	$27.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $20.26 / $28.60	Professional		$16.20	$20.26	$28.60