Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $19.00 / $23.12	Professional		$11.28	$19.00	$23.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.42 / $10.74 / $13.40	Professional	TC	$5.42	$10.74	$13.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $24.98 / $27.96	Professional		$21.23	$24.98	$27.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.70 / $14.21 / $17.68	Professional	TC	$10.70	$14.21	$17.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $27.91 / $32.01	Professional		$9.86	$27.91	$32.01
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $20.41 / $20.41	Professional	TC	$19.48	$20.41	$20.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $22.20 / $25.90	Professional		$20.35	$22.20	$25.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $11.81 / $12.50	Professional	TC	$10.82	$11.81	$12.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $24.98 / $28.54	Professional		$9.69	$24.98	$28.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.40 / $13.28 / $14.01	Professional	TC	$4.40	$13.28	$14.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $26.28 / $47.01	Professional		$12.96	$26.28	$47.01
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $12.20 / $21.69 / $27.45	Professional	TC	$12.20	$21.69	$27.45