Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $83.18	Professional		$51.29	$63.10	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $93.33	Facility		$81.28	$81.28	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $147.91	Professional		$81.28	$104.71	$147.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $138.04	Professional		$72.44	$120.23	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $69.18	Facility		$53.70	$67.61	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $128.82	Professional		$63.10	$89.13	$128.82