Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $227.46 / $227.46	Facility		$42.00	$227.46	$227.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $76.98	Professional		$0.10	$0.10	$76.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Facility		$0.28	$0.28	$0.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.18	Professional		$0.10	$0.10	$0.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.18	Professional		$0.18	$0.18	$0.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.15	Professional		$0.10	$0.12	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.15	Professional		$0.10	$0.11	$0.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.18 / $2.56	Professional		$0.12	$0.18	$2.56