Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $51.70 / $51.70	Facility		$51.70	$51.70	$51.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.69 / $51.69 / $51.69	Facility		$51.69	$51.69	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Professional		$37.03	$37.03	$37.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $34.34 / $40.06	Professional		$31.47	$34.34	$40.06
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $30.43 / $42.92	Professional		$28.61	$30.43	$42.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $42.54 / $106.11	Professional		$30.69	$42.54	$106.11