Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $87.10	Professional		$43.65	$58.88	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $107.15	Facility		$69.18	$69.18	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Professional		$69.18	$69.18	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $70.79	Facility		$56.23	$64.57	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $162.18	Professional		$50.12	$85.11	$162.18