Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $34.86 / $34.86	Facility		$34.86	$34.86	$34.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.03 / $8,614.75	Professional		$13.49	$14.03	$8,614.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $34.86 / $34.86	Facility		$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $19.41	Professional		$13.49	$13.49	$19.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $16.75 / $16.75	Professional		$16.75	$16.75	$16.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.19 / $20.23	Professional		$13.49	$16.19	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.30 / $20.23	Professional		$13.49	$14.30	$20.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $17.86 / $28.39	Professional		$13.12	$17.86	$28.39