Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $14.96 / $19.20	Facility		$13.20	$14.96	$19.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $19.20 / $19.20	Professional		$9.42	$19.20	$19.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $25.73 / $30.11	Professional		$19.51	$25.73	$30.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $19.20 / $24.00	Professional		$16.00	$19.20	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $19.20 / $24.00	Professional		$6.72	$19.20	$24.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $21.79 / $31.01	Professional		$17.60	$21.79	$31.01