Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $48.62 / $48.62	Facility		$48.62	$48.62	$48.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.68 / $14.66	Professional		$10.67	$10.68	$14.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $48.61 / $48.61	Facility		$48.61	$48.61	$48.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $23.03	Professional		$10.68	$10.68	$23.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $14.03 / $14.03	Professional		$14.03	$14.03	$14.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.81 / $16.02	Professional		$10.68	$12.81	$16.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.32 / $16.02	Professional		$10.68	$11.32	$16.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $24.00 / $31.57	Professional		$10.19	$24.00	$31.57