Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $27.19 / $34.90	Facility		$23.99	$27.19	$34.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $34.90 / $34.90	Professional		$19.82	$34.90	$34.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $53.77 / $62.91	Professional		$40.76	$53.77	$62.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $34.90 / $43.62	Professional		$29.08	$34.90	$43.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $34.90 / $48.65	Professional		$12.21	$34.90	$48.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $45.51 / $64.77	Professional		$32.57	$45.51	$64.77