Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $93.33	Professional		$43.65	$63.10	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $112.20	Facility		$87.10	$87.10	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $177.83	Professional		$87.10	$125.89	$177.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $151.36	Professional		$144.54	$144.54	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $165.96	Professional		$87.10	$144.54	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $63.10	Facility		$50.12	$50.12	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $154.88	Professional		$58.88	$100.00	$154.88