Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.54 / $291.54 / $291.54	Facility		$291.54	$291.54	$291.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $84.00	Professional		$0.14	$0.15	$84.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Facility		$0.22	$0.22	$0.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.14 / $0.14	Professional		$0.12	$0.14	$0.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Professional		$0.14	$0.14	$0.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.16 / $0.20	Professional		$0.14	$0.16	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.21	Professional		$0.11	$0.14	$0.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.14 / $0.27	Professional		$0.10	$0.14	$0.27