Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $83.18	Professional		$52.48	$70.79	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $169.82	Facility		$75.86	$75.86	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $186.21 / $263.03	Professional		$75.86	$186.21	$263.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Professional		$213.80	$213.80	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $245.47	Professional		$128.82	$213.80	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $77.62	Facility		$58.88	$74.13	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $234.42	Professional		$70.79	$147.91	$234.42