Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $93.33	Professional		$67.61	$79.43	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $128.82	Professional		$10.47	$10.47	$128.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $26.30	Professional		$19.95	$26.30	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $44.67 / $79.43	Facility		$7.76	$44.67	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $109.65 / $147.91	Professional		$44.67	$109.65	$147.91