Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $15.37 / $15.37	Facility		$15.37	$15.37	$15.37
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $118.34 / $118.34 / $118.34	Facility	CQ	$118.34	$118.34	$118.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.60 / $20.88	Professional		$9.14	$9.60	$20.88
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.74 / $8.74 / $9.32	Professional	CQ	$8.74	$8.74	$9.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $15.37 / $15.37	Facility		$15.37	$15.37	$15.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $16.34 / $19.61	Professional		$13.33	$16.34	$19.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $14.26 / $17.82	Professional		$12.66	$14.26	$17.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $15.68 / $18.30	Professional		$14.38	$15.68	$18.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $16.34 / $36.10	Professional		$13.33	$16.34	$36.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $11.26 / $14.53	Professional		$9.27	$11.26	$14.53