Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $125.89	Professional		$83.18	$83.18	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $100.00 / $165.96	Professional		$44.67	$100.00	$165.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $194.98	Professional		$151.36	$158.49	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $107.15 / $213.80	Professional		$10.72	$107.15	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $56.23 / $93.33	Facility		$7.41	$56.23	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $165.96	Professional		$61.66	$120.23	$165.96