Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $48.00	Facility		$0.12	$0.12	$48.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $62.88	Professional		$0.08	$0.08	$62.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.08 / $0.09	Professional		$0.07	$0.08	$0.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.10 / $0.12	Professional		$0.08	$0.10	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.12	Professional		$0.08	$0.08	$0.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.10 / $0.70	Professional		$0.06	$0.10	$0.70