Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Professional		$35.15	$35.15	$35.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $102.06 / $102.06	Facility		$102.06	$102.06	$102.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $64.52 / $141.32	Professional		$64.52	$64.52	$141.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $134.52 / $134.52	Professional		$128.47	$134.52	$134.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $128.47 / $179.86	Professional		$77.08	$128.47	$179.86
United Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $102.06 / $141.32	Professional		$81.56	$102.06	$141.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $103.49 / $122.28	Professional		$56.19	$103.49	$122.28