Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $49.32 / $49.32	Facility		$49.32	$49.32	$49.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.81 / $6.22	Professional		$2.79	$2.81	$6.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Facility		$49.33	$49.33	$49.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.79 / $9.01	Professional		$2.66	$2.79	$9.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Professional		$2.76	$2.76	$2.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.35 / $4.19	Professional		$2.79	$3.35	$4.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.79 / $4.19	Professional		$2.25	$2.79	$4.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $11.26 / $58.69	Professional		$1.59	$11.26	$58.69