Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $23.38 / $30.00	Facility		$20.63	$23.38	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $26.18	Professional		$18.80	$18.80	$26.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $30.00 / $37.50	Professional		$25.00	$30.00	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $30.00 / $37.50	Professional		$13.83	$30.00	$37.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00