Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $46.50 / $46.50	Facility		$46.50	$46.50	$46.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $46.50 / $46.50	Facility		$46.50	$46.50	$46.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $19.20	Professional		$16.22	$16.22	$19.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $23.36 / $23.36	Professional		$23.36	$23.36	$23.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.46 / $22.70	Professional		$16.22	$19.46	$22.70
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.20 / $24.33	Professional		$16.22	$19.20	$24.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $36.47 / $95.96	Professional		$14.80	$36.47	$95.96