Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.94 / $28.41	Professional		$19.95	$22.94	$28.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $35.46 / $115.68	Professional		$23.55	$35.46	$115.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $43.72 / $51.41	Professional		$38.00	$43.72	$51.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $33.44 / $39.02	Professional		$29.54	$33.44	$39.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $31.58 / $47.28	Professional		$22.08	$31.58	$47.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $30.10 / $52.34	Professional		$22.25	$30.10	$52.34