Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.07 / $75.00	Professional		$14.40	$23.07	$75.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.46 / $17.46 / $17.46	Professional	CQ	$17.46	$17.46	$17.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $63.65 / $98.30	Professional		$30.07	$63.65	$98.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $33.64 / $35.85	Professional		$27.32	$33.64	$35.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $35.54 / $40.40	Professional		$32.32	$35.54	$40.40
United Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $32.97 / $48.51	Professional		$25.30	$32.97	$48.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $38.65 / $250.00	Professional		$13.75	$38.65	$250.00