Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $15.23 / $15.23	Professional		$15.23	$15.23	$15.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $123.49 / $123.49	Professional		$29.64	$123.49	$123.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $117.55 / $117.55	Professional		$112.26	$117.55	$117.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $112.26 / $157.16	Professional		$67.36	$112.26	$157.16
United Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $89.19 / $123.49	Professional		$26.22	$89.19	$123.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $90.43 / $106.85	Professional		$49.10	$90.43	$106.85