Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $75.62 / $169.40	Facility		$12.00	$75.62	$169.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.68 / $38.94	Professional		$12.19	$12.68	$38.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $17.46 / $17.46	Professional		$11.58	$17.46	$17.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $31.20 / $36.51	Professional		$23.65	$31.20	$36.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $17.46 / $21.83	Professional		$14.55	$17.46	$21.83
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $17.46 / $28.24	Professional		$6.11	$17.46	$28.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $26.23 / $36.59	Professional		$14.55	$26.23	$36.59