Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $32.81 / $42.11	Facility		$28.95	$32.81	$42.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $33.52 / $48.18	Professional		$33.52	$33.52	$48.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Professional		$42.11	$42.11	$42.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $90.80 / $100.44	Professional		$75.73	$90.80	$100.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $42.11 / $49.13	Professional		$38.60	$42.11	$49.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $48.14 / $52.64	Professional		$42.11	$48.14	$52.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09