Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $67.61	Professional		$39.81	$51.29	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $154.88	Facility		$63.10	$63.10	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $173.78 / $239.88	Professional		$63.10	$173.78	$239.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $223.87	Professional		$117.49	$194.98	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $58.88	Facility		$45.71	$57.54	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $134.90 / $213.80	Professional		$53.70	$134.90	$213.80