Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $14.03 / $18.00	Facility		$12.38	$14.03	$18.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $18.00 / $18.00	Professional		$9.42	$18.00	$18.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $25.73 / $30.11	Professional		$20.70	$25.73	$30.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.00 / $22.50	Professional		$15.00	$18.00	$22.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $18.00 / $23.27	Professional		$6.30	$18.00	$23.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $22.05 / $31.01	Professional		$16.80	$22.05	$31.01