Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $28.84	Professional		$23.99	$23.99	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $52.48	Professional		$19.95	$23.44	$52.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $67.61	Professional		$50.12	$52.48	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $34.67 / $67.61	Professional		$4.37	$34.67	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $13.49 / $20.42	Facility		$1.78	$13.49	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $34.67 / $52.48	Professional		$15.49	$34.67	$52.48