Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Facility		$12.32	$12.32	$12.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.94 / $1,975.68	Professional		$5.70	$5.94	$1,975.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $12.33 / $12.33	Facility		$12.33	$12.33	$12.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.71	Professional		$5.71	$5.71	$5.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $8.72	Professional		$8.72	$8.72	$8.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $6.85 / $7.99	Professional		$6.28	$6.85	$7.99
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $7.16 / $8.57	Professional		$5.71	$7.16	$8.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $5.99 / $7.70	Professional		$5.44	$5.99	$7.70