Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $29.30 / $29.30	Facility		$29.30	$29.30	$29.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $29.30 / $29.30	Facility		$29.30	$29.30	$29.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $17.75 / $17.75	Professional		$17.75	$17.75	$17.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $15.67 / $18.28	Professional		$14.37	$15.67	$18.28
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $14.59 / $19.59	Professional		$13.06	$14.59	$19.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $15.78 / $23.66	Professional		$9.84	$15.78	$23.66