Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $66.07	Professional		$34.67	$48.98	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $87.10	Facility		$61.66	$61.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $138.04	Professional		$61.66	$97.72	$138.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $117.49	Professional		$112.20	$112.20	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $128.82	Professional		$67.61	$112.20	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $51.29 / $52.48	Facility		$39.81	$51.29	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $120.23	Professional		$47.86	$75.86	$120.23