Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $75.06 / $197.84	Facility		$22.88	$75.06	$197.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.28 / $652.50	Professional		$0.20	$0.28	$652.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $0.51	Facility		$0.51	$0.51	$0.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Professional		$0.21	$0.21	$0.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.25 / $0.28	Professional		$0.23	$0.25	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.24 / $0.32	Professional		$0.21	$0.24	$0.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.22 / $0.33	Professional		$0.15	$0.22	$0.33