Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $40.10 / $40.10	Professional		$40.10	$40.10	$40.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Facility		$89.84	$89.84	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $124.42	Professional		$70.70	$70.70	$124.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $118.44 / $118.44	Professional		$113.11	$118.44	$118.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $113.11 / $158.35	Professional		$79.18	$113.11	$158.35
United Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $105.76 / $124.42	Professional		$77.04	$105.76	$124.42