Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.35 / $4.30	Facility		$2.95	$3.35	$4.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $12.56	Professional		$4.30	$4.30	$12.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $28.71 / $35.89	Professional		$26.10	$28.71	$35.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.30 / $5.37	Professional		$3.58	$4.30	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $4.30 / $30.82	Professional		$1.50	$4.30	$30.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $5.26 / $52.99	Professional		$3.04	$5.26	$52.99