Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $36.84 / $36.84	Facility		$36.84	$36.84	$36.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $30.36 / $51.02	Professional		$30.36	$30.36	$51.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $48.57 / $48.57	Professional		$46.38	$48.57	$48.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $46.38 / $64.93	Professional		$32.47	$46.38	$64.93
United Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $36.84 / $51.02	Professional		$26.14	$36.84	$51.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $38.64 / $44.14	Professional		$37.36	$38.64	$44.14