Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $33.03 / $42.40	Facility		$29.15	$33.03	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $42.40 / $42.40	Professional		$28.07	$42.40	$42.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $71.79 / $84.00	Professional		$54.42	$71.79	$84.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $42.40 / $53.00	Professional		$35.33	$42.40	$53.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $42.40 / $64.98	Professional		$14.84	$42.40	$64.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $60.79 / $84.17	Professional		$39.57	$60.79	$84.17