Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $103.64 / $560.00	Professional		$24.87	$103.64	$560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $41.13 / $41.13	Professional		$41.13	$41.13	$41.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $32.44 / $39.88	Professional		$29.00	$32.44	$39.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $18.82 / $21.95	Professional		$17.25	$18.82	$21.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $27.47 / $33.01	Professional		$19.60	$27.47	$33.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $24.67 / $118.47	Professional		$15.27	$24.67	$118.47