Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $31.73 / $40.72	Facility		$28.00	$31.73	$40.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $40.72 / $40.72	Professional		$26.89	$40.72	$40.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $66.22 / $80.58	Professional		$52.16	$66.22	$80.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $40.72 / $50.91	Professional		$33.94	$40.72	$50.91
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $40.72 / $65.89	Professional		$14.25	$40.72	$65.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $62.50 / $87.75	Professional		$28.85	$62.50	$87.75