Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $30.20	Professional		$16.98	$19.95	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $38.02	Facility		$19.50	$19.50	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $60.26	Professional		$19.50	$28.18	$60.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $50.12	Professional		$47.86	$47.86	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $56.23	Professional		$28.84	$47.86	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.14 / $19.50	Facility		$12.88	$15.14	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.88 / $52.48	Professional		$17.78	$33.88	$52.48