Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Professional		$22.55	$22.55	$22.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.90 / $4.90	Professional		$4.68	$4.90	$4.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68