Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Facility		$40.79	$40.79	$40.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Facility		$40.79	$40.79	$40.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $31.86 / $31.86	Professional		$31.86	$31.86	$31.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $24.86 / $29.00	Professional		$22.79	$24.86	$29.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $26.19 / $31.08	Professional		$20.72	$26.19	$31.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $21.29 / $26.40	Professional		$3.71	$21.29	$26.40