Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $32.36	Professional		$19.95	$19.95	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $45.71	Professional		$22.91	$27.54	$45.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $57.54	Professional		$42.66	$44.67	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $30.20 / $60.26	Professional		$3.24	$30.20	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $14.13 / $24.55	Facility		$1.86	$14.13	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $35.48 / $45.71	Professional		$16.60	$35.48	$45.71