Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $29.20 / $29.20	Facility		$29.20	$29.20	$29.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $29.20 / $29.20	Facility		$29.20	$29.20	$29.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $24.66 / $24.66	Professional		$24.66	$24.66	$24.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $18.39 / $21.46	Professional		$16.86	$18.39	$21.46
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $20.27 / $23.00	Professional		$15.33	$20.27	$23.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $21.28 / $28.84	Professional		$16.55	$21.28	$28.84