Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Professional		$32.74	$32.74	$32.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $16.36 / $16.36	Professional		$15.62	$16.36	$16.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $15.62	Professional		$15.62	$15.62	$15.62
United Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $88.94 / $88.94	Professional		$88.94	$88.94	$88.94