Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $154.88	Professional		$72.44	$107.15	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Facility		$120.23	$120.23	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $234.42	Professional		$120.23	$165.96	$234.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $199.53	Professional		$190.55	$190.55	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $218.78	Professional		$131.83	$190.55	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $107.15	Facility		$85.11	$87.10	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $204.17	Professional		$100.00	$147.91	$204.17