Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Facility		$20.62	$20.62	$20.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Facility		$20.62	$20.62	$20.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $14.99	Professional		$14.99	$14.99	$14.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $12.36 / $14.42	Professional		$11.33	$12.36	$14.42
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.30 / $15.45	Professional		$10.13	$10.30	$15.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $12.88 / $23.45	Professional		$9.82	$12.88	$23.45