Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $77.30 / $77.30	Facility		$77.30	$77.30	$77.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $2,319.00 / $8,435.24	Professional		$44.60	$2,319.00	$8,435.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $77.30 / $77.30	Facility		$77.30	$77.30	$77.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $55.13 / $55.13	Professional		$55.13	$55.13	$55.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $53.52 / $62.43	Professional		$49.06	$53.52	$62.43
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $45.31 / $66.90	Professional		$44.60	$45.31	$66.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $41.93 / $49.28	Professional		$27.85	$41.93	$49.28