Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $131.83	Professional		$87.10	$87.10	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $173.78	Professional		$91.20	$107.15	$173.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $213.80	Professional		$162.18	$173.78	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $223.87	Professional		$112.20	$128.82	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $60.26 / $100.00	Facility		$7.94	$60.26	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $173.78	Professional		$66.07	$131.83	$173.78