Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $194.98	Facility		$30.20	$39.81	$194.98
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $41.69 / $75.86 / $77.62	Facility	CQ	$41.69	$75.86	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $50.12	Professional		$15.14	$20.89	$50.12
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	CQ	$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $30.20 / $42.66	Professional		$13.49	$30.20	$42.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $43.65	Professional		$31.62	$34.67	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $38.90	Professional		$32.36	$35.48	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $48.98	Professional		$23.44	$28.18	$48.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $120.23	Professional		$31.62	$41.69	$120.23