Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $10.02 / $12.88	Facility		$8.85	$10.02	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $12.88 / $12.88	Professional		$8.25	$12.88	$12.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $22.13 / $25.90	Professional		$16.78	$22.13	$25.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $12.88 / $16.10	Professional		$10.73	$12.88	$16.10
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $12.88 / $20.05	Professional		$4.51	$12.88	$20.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.75 / $25.96	Professional		$12.02	$18.75	$25.96