Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $46.77	Professional		$28.84	$40.74	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $123.03	Facility		$42.66	$42.66	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $138.04 / $194.98	Professional		$42.66	$138.04	$194.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $165.96	Professional		$158.49	$158.49	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $181.97	Professional		$95.50	$158.49	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $43.65	Facility		$33.88	$42.66	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $107.15 / $169.82	Professional		$39.81	$107.15	$169.82