Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $97.72	Professional		$56.23	$70.79	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Facility		$91.20	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $186.21	Professional		$91.20	$131.83	$186.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $158.49	Professional		$151.36	$151.36	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $173.78	Professional		$89.13	$151.36	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $74.13	Facility		$56.23	$72.44	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $162.18	Professional		$67.61	$102.33	$162.18