Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $52.48	Professional		$33.11	$42.66	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $128.82	Facility		$48.98	$48.98	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $144.54 / $204.17	Professional		$48.98	$144.54	$204.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Professional		$165.96	$165.96	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $190.55	Professional		$97.72	$165.96	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $47.86	Facility		$37.15	$46.77	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $177.83	Professional		$44.67	$112.20	$177.83