Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $70.25 / $180.00	Facility		$6.82	$70.25	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.89 / $8.27	Professional		$5.77	$6.89	$8.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.27 / $8.27	Professional		$5.50	$8.27	$8.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $14.79 / $17.28	Professional		$11.21	$14.79	$17.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $8.27 / $10.34	Professional		$6.89	$8.27	$10.34
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $8.27 / $13.37	Professional		$2.89	$8.27	$13.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $12.41 / $17.32	Professional		$6.89	$12.41	$17.32