Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $23.66 / $23.66	Facility		$23.66	$23.66	$23.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Professional		$12.06	$12.06	$12.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $23.66 / $23.66	Facility		$23.66	$23.66	$23.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Professional		$16.86	$16.86	$16.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $14.47 / $16.88	Professional		$13.26	$14.47	$16.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $13.86 / $18.09	Professional		$12.06	$13.86	$18.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $11.74 / $14.36	Professional		$9.27	$11.74	$14.36