Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $89.13	Professional		$57.54	$77.62	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $141.25	Facility		$138.04	$138.04	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $89.13	Professional		$85.11	$85.11	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $302.00	Facility		$74.13	$91.20	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $208.93	Professional		$64.57	$112.20	$208.93