Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $95.20 / $95.20	Facility		$19.73	$95.20	$95.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.40 / $16.84	Professional		$13.28	$14.40	$16.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $32.97	Facility		$19.73	$19.73	$32.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $66.00 / $107.04	Professional		$17.27	$66.00	$107.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $19.89 / $24.95	Professional		$16.92	$19.89	$24.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.46 / $18.70	Professional		$16.19	$16.46	$18.70
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $17.01 / $23.87	Professional		$12.10	$17.01	$23.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $19.27 / $250.00	Professional		$13.35	$19.27	$250.00