Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $7.79	Professional		$4.19	$4.19	$7.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $57.55 / $57.55	Facility		$57.55	$57.55	$57.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $38.02	Professional		$4.19	$4.19	$38.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $5.03 / $6.29	Professional		$4.19	$5.03	$6.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.44 / $10.15	Professional		$4.19	$4.44	$10.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $49.05 / $181.81	Professional		$10.91	$49.05	$181.81