Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $53.68 / $179.56	Facility		$53.68	$53.68	$179.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Facility		$3.48	$3.48	$3.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.47 / $1.71	Professional		$1.34	$1.47	$1.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.49 / $1.83	Professional		$1.22	$1.49	$1.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.61 / $4.51	Professional		$1.22	$1.61	$4.51