Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $47.51 / $47.51	Professional		$47.51	$47.51	$47.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $91.68 / $91.68	Facility		$91.68	$91.68	$91.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $90.28 / $126.94	Professional		$90.28	$90.28	$126.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $115.40 / $120.84 / $120.84	Professional		$115.40	$120.84	$120.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $115.40 / $161.56	Professional		$69.23	$115.40	$161.56
United Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $107.90 / $126.94	Professional		$80.44	$107.90	$126.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $92.96 / $109.84	Professional		$50.48	$92.96	$109.84