Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.49 / $109.65	Facility		$11.22	$13.49	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $16.22	Professional		$10.00	$12.02	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $16.22	Professional		$10.72	$10.72	$16.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $28.18	Professional		$19.95	$28.18	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $26.30	Professional		$13.49	$16.22	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $19.05 / $22.39	Professional		$5.75	$19.05	$22.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $29.51	Professional		$13.49	$20.89	$29.51