Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.96 / $174.96 / $174.96	Facility		$174.96	$174.96	$174.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.36 / $20.22	Professional		$0.35	$0.36	$20.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.98	Professional		$0.34	$0.34	$0.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.86 / $0.86	Professional		$0.86	$0.86	$0.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.43 / $0.53	Professional		$0.36	$0.43	$0.53
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.38 / $0.71	Professional		$0.36	$0.38	$0.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $1.03 / $25.38	Professional		$0.50	$1.03	$25.38