Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $81.28	Professional		$50.12	$64.57	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $154.88	Facility		$75.86	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $245.47	Professional		$75.86	$173.78	$245.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $208.93	Professional		$199.53	$199.53	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $229.09	Professional		$120.23	$199.53	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $72.44	Facility		$57.54	$57.54	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $213.80	Professional		$67.61	$134.90	$213.80