Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $85.11	Professional		$57.54	$70.79	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $177.83	Facility		$79.43	$79.43	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $281.84	Professional		$79.43	$199.53	$281.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $239.88	Professional		$229.09	$229.09	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $263.03	Professional		$138.04	$229.09	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $79.43	Facility		$61.66	$77.62	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $154.88 / $245.47	Professional		$72.44	$154.88	$245.47