Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $26.42 / $104.00	Professional		$23.97	$26.42	$104.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $26.06 / $40.65	Professional		$19.75	$26.06	$40.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $45.13 / $53.88	Professional		$39.26	$45.13	$53.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $26.98 / $31.47	Professional		$22.93	$26.98	$31.47
United Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $28.10 / $40.32	Professional		$22.93	$28.10	$40.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $29.02 / $46.86	Professional		$17.82	$29.02	$46.86