Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $55.37 / $55.37	Professional		$55.37	$55.37	$55.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.93 / $110.93 / $110.93	Facility		$110.93	$110.93	$110.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Professional		$75.05	$75.05	$75.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $137.06 / $137.06	Professional		$130.88	$137.06	$137.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $13.08 / $13.08	Professional		$13.08	$13.08	$13.08
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $110.93 / $175.76	Professional		$51.20	$110.93	$175.76