Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $33.06 / $33.06	Facility		$33.06	$33.06	$33.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.87 / $922.20	Professional		$18.10	$24.87	$922.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $33.04 / $33.04	Facility		$33.04	$33.04	$33.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $25.40 / $25.40	Professional		$25.40	$25.40	$25.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $21.73 / $25.35	Professional		$19.92	$21.73	$25.35
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $20.88 / $27.17	Professional		$18.11	$20.88	$27.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $17.26 / $21.39	Professional		$14.09	$17.26	$21.39