Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $61.66	Professional		$38.90	$52.48	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $97.72	Facility		$46.77	$46.77	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $56.23	Professional		$53.70	$53.70	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.95 / $63.10	Facility		$50.12	$54.95	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $144.54	Professional		$44.67	$77.62	$144.54