Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $24.55 / $24.55	Facility		$21.88	$24.55	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $30.90	Professional		$10.96	$14.13	$30.90
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.59 / $12.59 / $12.59	Professional	CQ	$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.95 / $22.91	Professional		$13.49	$19.95	$22.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.38 / $26.30	Professional		$19.05	$21.38	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $23.99	Professional		$20.89	$22.91	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $29.51	Professional		$14.79	$17.78	$29.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $120.23	Professional		$16.22	$25.12	$120.23