Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $27.35 / $105.87	Professional		$24.19	$27.35	$105.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $29.30 / $40.75	Professional		$20.21	$29.30	$40.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $34.54 / $41.25	Professional		$30.11	$34.54	$41.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $28.20 / $32.90	Professional		$23.97	$28.20	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $29.38 / $71.66	Professional		$23.97	$29.38	$71.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $29.40 / $53.22	Professional		$21.32	$29.40	$53.22