Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $23.48 / $91.06	Professional		$18.61	$23.48	$91.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $61.02 / $109.94	Professional		$13.51	$61.02	$109.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $112.98 / $118.30	Professional		$95.84	$112.98	$118.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $31.02 / $114.34	Professional		$22.75	$31.02	$114.34
United Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $85.63 / $109.94	Professional		$72.30	$85.63	$109.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $58.69 / $80.14	Professional		$18.62	$58.69	$80.14