Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $97.72	Professional		$56.23	$77.62	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Facility		$128.82	$128.82	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $229.09	Professional		$128.82	$162.18	$229.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Professional		$186.21	$186.21	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $213.80	Professional		$128.82	$186.21	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $89.13 / $109.65	Facility		$87.10	$89.13	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $151.36 / $199.53	Professional		$31.62	$151.36	$199.53