Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $210.48 / $210.48	Facility		$47.20	$210.48	$210.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.21 / $57.00	Professional		$1.99	$2.21	$57.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $4.72 / $4.72	Facility		$4.72	$4.72	$4.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.91	Professional		$1.99	$1.99	$2.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $2.78 / $2.78	Professional		$2.78	$2.78	$2.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.39 / $2.99	Professional		$1.99	$2.39	$2.99
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.20 / $2.99	Professional		$1.99	$2.20	$2.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.39 / $3.26	Professional		$1.76	$2.39	$3.26