Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $29.37 / $29.37	Facility		$2.14	$29.37	$29.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Professional		$2.54	$2.54	$2.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Facility		$2.14	$2.14	$2.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Professional		$2.54	$2.54	$2.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Professional		$2.76	$2.76	$2.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.05 / $3.55	Professional		$2.79	$3.05	$3.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.54 / $3.81	Professional		$2.27	$2.54	$3.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $2.18 / $4.73	Professional		$0.97	$2.18	$4.73