Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $22.95 / $254.60	Facility		$13.50	$22.95	$254.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $82.12 / $768.00	Professional		$5.05	$82.12	$768.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $16.73 / $16.73	Facility		$16.73	$16.73	$16.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.18 / $8.18	Professional		$8.18	$8.18	$8.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $6.07 / $7.08	Professional		$5.56	$6.07	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.59 / $57.79	Professional		$6.72	$7.59	$57.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $9.52 / $15.62	Professional		$6.47	$9.52	$15.62