Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $50.21 / $51.42	Professional		$41.74	$50.21	$51.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $51.42 / $51.42	Professional		$10.70	$51.42	$51.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $11.09 / $11.09	Professional		$11.09	$11.09	$11.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $670.00	Professional		$5.00	$5.00	$670.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $50.40 / $75.59	Professional		$10.70	$50.40	$75.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $12.16 / $33.29	Professional		$8.82	$12.16	$33.29