Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $106.68 / $106.68	Facility		$106.68	$106.68	$106.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $23.88 / $26.26	Professional		$23.87	$23.88	$26.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $106.68 / $106.68	Facility		$106.68	$106.68	$106.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $72.98	Professional		$23.88	$23.88	$72.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $75.72 / $75.72	Professional		$75.72	$75.72	$75.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $28.65 / $35.82	Professional		$23.88	$28.65	$35.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.31 / $72.98	Professional		$23.88	$25.31	$72.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $47.48 / $78.45	Professional		$27.69	$47.48	$78.45