Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $35.74 / $35.74	Facility		$35.74	$35.74	$35.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $21.30 / $29.26	Professional		$12.39	$21.30	$29.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $35.75 / $35.75	Facility		$35.75	$35.75	$35.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $30.57 / $30.57	Professional		$30.57	$30.57	$30.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.57 / $29.84	Professional		$23.44	$25.57	$29.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $25.13 / $31.97	Professional		$21.31	$25.13	$31.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $17.88 / $25.34	Professional		$4.90	$17.88	$25.34