Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $87.10	Professional		$57.54	$57.54	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $128.82	Professional		$60.26	$72.44	$128.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $154.88	Professional		$120.23	$125.89	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $169.82	Professional		$64.57	$89.13	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $38.90 / $66.07	Facility		$5.25	$38.90	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $128.82	Professional		$43.65	$100.00	$128.82