Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $28.98 / $34.83	Professional		$21.74	$28.98	$34.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $51.90 / $51.90	Professional		$19.25	$51.90	$51.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $49.40 / $49.40	Professional		$47.18	$49.40	$49.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $66.05 / $66.05	Professional		$66.05	$66.05	$66.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $58.85 / $171.23	Professional		$23.50	$58.85	$171.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $39.58 / $60.86	Professional		$19.39	$39.58	$60.86