Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $38.90	Professional		$19.95	$25.70	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $48.98	Professional		$14.79	$26.92	$48.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $54.95	Professional		$39.81	$45.71	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $31.62	Professional		$10.00	$15.14	$31.62