Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $28.16 / $28.16	Facility		$28.16	$28.16	$28.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.16 / $3,879.00	Professional		$11.03	$15.16	$3,879.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $28.16 / $28.16	Facility		$28.16	$28.16	$28.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $13.25 / $15.45	Professional		$12.14	$13.25	$15.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $12.64 / $16.55	Professional		$11.04	$12.64	$16.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $17.30 / $29.14	Professional		$12.75	$17.30	$29.14