Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $12.97 / $16.64	Facility		$11.44	$12.97	$16.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $16.64 / $16.64	Professional		$10.99	$16.64	$16.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $29.71 / $34.82	Professional		$22.53	$29.71	$34.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $16.64 / $20.81	Professional		$13.87	$16.64	$20.81
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $16.64 / $26.92	Professional		$5.83	$16.64	$26.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $25.18 / $34.86	Professional		$15.53	$25.18	$34.86