Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $53.70	Professional		$32.36	$38.90	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $83.18	Facility		$46.77	$46.77	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $128.82	Professional		$46.77	$91.20	$128.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Professional		$104.71	$104.71	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $120.23	Professional		$63.10	$104.71	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $40.74	Facility		$32.36	$32.36	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $114.82	Professional		$38.02	$72.44	$114.82