Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.84 / $35.48	Facility		$23.99	$28.84	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $28.18	Professional		$16.98	$25.12	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $35.48	Professional		$17.78	$17.78	$35.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $72.44	Professional		$50.12	$64.57	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $43.65	Professional		$29.51	$35.48	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $43.65	Professional		$12.30	$32.36	$43.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $57.54	Professional		$25.12	$42.66	$57.54