Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $91.20	Professional		$64.57	$64.57	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $128.82	Professional		$60.26	$72.44	$128.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $158.49	Professional		$120.23	$134.90	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $165.96	Professional		$83.18	$104.71	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $41.69 / $64.57	Facility		$5.62	$41.69	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $104.71 / $128.82	Professional		$47.86	$104.71	$128.82