Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $19.60 / $19.60	Facility		$19.60	$19.60	$19.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.55 / $2,774.84	Professional		$12.07	$12.55	$2,774.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $16.78	Professional		$16.78	$16.78	$16.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.48 / $16.89	Professional		$13.28	$14.48	$16.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $13.78 / $18.11	Professional		$12.07	$13.78	$18.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.49 / $13.90	Professional		$10.74	$11.49	$13.90