Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $83.18	Professional		$39.81	$57.54	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $109.65	Facility		$72.44	$72.44	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $173.78	Professional		$72.44	$123.03	$173.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $147.91	Professional		$141.25	$141.25	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $162.18	Professional		$85.11	$141.25	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $60.26	Facility		$46.77	$58.88	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $151.36	Professional		$54.95	$97.72	$151.36