Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $30.48 / $30.48	Facility		$30.48	$30.48	$30.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $33.82 / $171.87	Professional		$9.96	$33.82	$171.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $30.48 / $30.48	Facility		$30.48	$30.48	$30.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $11.83 / $13.80	Professional		$10.85	$11.83	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.22 / $14.79	Professional		$9.86	$13.22	$14.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $19.21 / $66.65	Professional		$9.18	$19.21	$66.65