Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $107.15	Professional		$63.10	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $158.49	Facility		$100.00	$100.00	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $251.19	Professional		$100.00	$177.83	$251.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $213.80	Professional		$204.17	$204.17	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $234.42	Professional		$120.23	$204.17	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $91.20	Facility		$72.44	$72.44	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $218.78	Professional		$85.11	$138.04	$218.78