Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $95.50	Professional		$67.61	$67.61	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $138.04	Professional		$66.07	$77.62	$138.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $173.78	Professional		$128.82	$138.04	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $181.97	Professional		$66.07	$100.00	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $43.65 / $70.79	Facility		$5.75	$43.65	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $138.04	Professional		$48.98	$100.00	$138.04