Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $31.04	Facility		$15.40	$15.40	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $14.40 / $17.53	Professional		$8.48	$14.40	$17.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $32.51	Facility		$15.40	$15.40	$32.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $65.06 / $107.03	Professional		$14.55	$65.06	$107.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $14.40 / $16.98	Professional		$12.67	$14.40	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $16.26 / $18.48	Professional		$14.78	$16.26	$18.48
United Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $15.08 / $23.55	Professional		$11.82	$15.08	$23.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.01 / $250.00	Professional		$13.16	$19.01	$250.00