Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $85.00 / $85.00	Facility		$18.11	$85.00	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $14.40 / $19.23	Professional		$11.14	$14.40	$19.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Facility		$18.11	$18.11	$18.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $67.08 / $107.04	Professional		$15.77	$67.08	$107.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $14.87 / $17.82	Professional		$12.35	$14.87	$17.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $12.72 / $15.00	Professional		$12.72	$12.72	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $13.32 / $23.78	Professional		$9.51	$13.32	$23.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $16.82 / $257.50	Professional		$10.51	$16.82	$257.50