Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $24.38 / $24.38	Facility		$24.38	$24.38	$24.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $10.65 / $20.82	Professional		$10.53	$10.65	$20.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $24.38 / $24.38	Facility		$24.38	$24.38	$24.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $16.91	Professional		$10.54	$10.54	$16.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Professional		$16.86	$16.86	$16.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $12.65 / $15.81	Professional		$10.54	$12.65	$15.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.17 / $16.23	Professional		$10.54	$11.17	$16.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $13.79 / $17.47	Professional		$11.98	$13.79	$17.47