Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.06 / $58.06 / $58.06	Facility		$58.06	$58.06	$58.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.05 / $58.05 / $58.05	Facility		$58.05	$58.05	$58.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $48.36 / $48.36	Professional		$48.36	$48.36	$48.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $41.02 / $47.85	Professional		$37.60	$41.02	$47.85
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $39.75 / $51.27	Professional		$34.18	$39.75	$51.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $29.04 / $40.08	Professional		$14.51	$29.04	$40.08