Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $34.85 / $68.88	Facility		$34.85	$34.85	$68.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $21.23 / $31.22	Professional		$14.40	$21.23	$31.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $34.85 / $72.77	Facility		$34.85	$34.85	$72.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $45.72 / $112.19	Professional		$29.77	$45.72	$112.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $36.01 / $40.44	Professional		$31.70	$36.01	$40.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $36.08 / $41.00	Professional		$36.08	$36.08	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $34.00 / $54.09	Professional		$26.12	$34.00	$54.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $43.28 / $250.00	Professional		$29.45	$43.28	$250.00