Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $26.46 / $26.46	Professional		$26.46	$26.46	$26.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $64.83 / $64.83	Facility		$64.83	$64.83	$64.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $89.78 / $89.78	Professional		$38.57	$89.78	$89.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $85.47 / $85.47	Professional		$81.62	$85.47	$85.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $81.62 / $114.27	Professional		$48.97	$81.62	$114.27
United Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $37.22 / $37.22	Facility		$37.22	$37.22	$37.22
United Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $64.83 / $89.78	Professional		$36.82	$64.83	$89.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $65.73 / $77.69	Professional		$35.69	$65.73	$77.69