Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Facility		$28.88	$28.88	$28.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $17.19 / $10,416.00	Professional		$17.01	$17.19	$10,416.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Facility		$28.87	$28.87	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $17.02 / $19.43	Professional		$16.64	$17.02	$19.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $20.16 / $20.16	Professional		$20.16	$20.16	$20.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $20.42 / $25.53	Professional		$17.02	$20.42	$25.53
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $17.02 / $25.53	Professional		$16.51	$17.02	$25.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $16.23 / $19.59	Professional		$13.72	$16.23	$19.59