Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $29.30 / $70.84	Facility		$4.44	$29.30	$70.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $2.45 / $796.50	Professional		$0.80	$2.45	$796.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $1.44 / $1.44	Facility		$1.44	$1.44	$1.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.18 / $1.18	Professional		$1.18	$1.18	$1.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.96 / $1.12	Professional		$0.88	$0.96	$1.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.98 / $1.20	Professional		$0.80	$0.98	$1.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.98 / $1.60	Professional		$0.79	$0.98	$1.60