Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $102.33	Professional		$57.54	$75.86	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Facility		$93.33	$93.33	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $177.83	Professional		$93.33	$125.89	$177.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $151.36	Professional		$144.54	$144.54	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $165.96	Professional		$87.10	$144.54	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $81.28	Facility		$63.10	$79.43	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $154.88	Professional		$74.13	$104.71	$154.88