Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Facility		$6.00	$6.00	$6.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $76.06	Professional		$76.06	$76.06	$76.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.58 / $134.58 / $134.58	Facility		$134.58	$134.58	$134.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $77.09 / $186.35	Professional		$77.09	$77.09	$186.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $177.39 / $177.39	Professional		$169.41	$177.39	$177.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $169.41 / $237.17	Professional		$101.65	$169.41	$237.17
United Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $134.58 / $186.35	Professional		$101.23	$134.58	$186.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $136.46 / $161.25	Professional		$74.09	$136.46	$161.25