Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $3.60 / $25.82	Facility		$3.60	$3.60	$25.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $102.64 / $205.28	Professional		$9.00	$102.64	$205.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.02 / $98.02 / $98.02	Facility		$98.02	$98.02	$98.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $135.72 / $135.72	Professional		$45.70	$135.72	$135.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $129.19 / $129.19	Professional		$123.39	$129.19	$129.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $123.39 / $172.75	Professional		$74.03	$123.39	$172.75
United Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $98.02 / $135.72	Professional		$47.63	$98.02	$135.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $99.39 / $117.45	Professional		$53.96	$99.39	$117.45