Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $14.04 / $219.53	Facility		$11.70	$14.04	$219.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $14.18 / $52.94	Professional		$12.34	$14.18	$52.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $17.02 / $17.02	Professional		$11.19	$17.02	$17.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $30.40 / $35.60	Professional		$23.04	$30.40	$35.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $17.02 / $21.27	Professional		$14.18	$17.02	$21.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $17.02 / $27.52	Professional		$5.96	$17.02	$27.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $25.55 / $35.65	Professional		$14.18	$25.55	$35.65