Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $47.67 / $47.67	Professional		$47.67	$47.67	$47.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $95.39 / $95.39	Professional		$49.61	$95.39	$95.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $90.81 / $90.81	Professional		$86.72	$90.81	$90.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $86.72 / $121.41	Professional		$52.03	$86.72	$121.41
United Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $68.90 / $95.39	Professional		$46.51	$68.90	$95.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $72.25 / $82.54	Professional		$57.97	$72.25	$82.54