Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $55.89 / $55.89	Facility		$10.62	$55.89	$55.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Facility		$10.62	$10.62	$10.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.74 / $6.70	Professional		$5.26	$5.74	$6.70
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $7.17	Professional		$4.78	$4.78	$7.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.66 / $8.80	Professional		$4.51	$5.66	$8.80