Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $31.66 / $40.63	Facility		$27.93	$31.66	$40.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $40.63 / $40.63	Professional		$19.63	$40.63	$40.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $48.42 / $58.93	Professional		$38.14	$48.42	$58.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $40.63 / $50.79	Professional		$33.86	$40.63	$50.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $40.63 / $50.79	Professional		$14.22	$40.63	$50.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $59.26 / $82.86	Professional		$28.78	$59.26	$82.86