Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $83.18	Professional		$44.67	$60.26	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $134.90	Facility		$66.07	$66.07	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $151.36 / $213.80	Professional		$66.07	$151.36	$213.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $199.53	Professional		$102.33	$173.78	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $52.48 / $64.57	Facility		$51.29	$52.48	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $186.21	Professional		$61.66	$117.49	$186.21