Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $189.35 / $189.35	Facility		$14.46	$189.35	$189.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $9.59 / $9.59	Professional		$9.59	$9.59	$9.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $5.74 / $6.70	Professional		$5.27	$5.74	$6.70
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.19 / $7.88	Professional		$4.79	$7.19	$7.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $8.02 / $42.10	Professional		$6.22	$8.02	$42.10