Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Facility		$10.10	$10.10	$10.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.79 / $2,400.00	Professional		$5.62	$5.79	$2,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Facility		$10.10	$10.10	$10.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Professional		$5.57	$5.57	$5.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Professional		$7.75	$7.75	$7.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.68 / $7.80	Professional		$6.13	$6.68	$7.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $6.37 / $8.36	Professional		$5.57	$6.37	$8.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $6.10 / $6.64	Professional		$5.31	$6.10	$6.64