Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.04 / $412.17 / $412.17	Facility		$156.04	$412.17	$412.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.69 / $444.53	Professional		$0.63	$0.69	$444.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $0.94 / $0.94	Facility		$0.94	$0.94	$0.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.88	Professional		$0.60	$0.60	$0.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $0.91 / $0.91	Professional		$0.91	$0.91	$0.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.75 / $0.94	Professional		$0.63	$0.75	$0.94
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.70 / $0.95	Professional		$0.63	$0.70	$0.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.88 / $4.68	Professional		$0.57	$0.88	$4.68