Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $85.11	Professional		$57.54	$57.54	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $120.23	Professional		$57.54	$69.18	$120.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $147.91	Professional		$112.20	$117.49	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $154.88	Professional		$77.62	$87.10	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $37.15 / $60.26	Facility		$5.01	$37.15	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.10 / $120.23	Professional		$42.66	$87.10	$120.23