Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $36.02 / $36.02	Facility		$36.02	$36.02	$36.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $24.73 / $4,731.05	Professional		$18.01	$24.73	$4,731.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $21.61 / $25.21	Professional		$19.80	$21.61	$25.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $27.02	Professional		$18.01	$18.01	$27.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $22.35 / $23.43	Professional		$17.88	$22.35	$23.43