Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $79.72 / $79.72	Facility		$79.72	$79.72	$79.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $79.72 / $79.72	Facility		$79.72	$79.72	$79.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $41.26 / $41.26	Professional		$41.26	$41.26	$41.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $44.02 / $51.36	Professional		$40.36	$44.02	$51.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $36.69 / $55.04	Professional		$33.92	$36.69	$55.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $31.35 / $47.70	Professional		$9.02	$31.35	$47.70