Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $114.82	Professional		$53.70	$72.44	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $144.54	Facility		$89.13	$89.13	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $229.09	Professional		$89.13	$162.18	$229.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Professional		$186.21	$186.21	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $213.80	Professional		$112.20	$186.21	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $95.50	Facility		$79.43	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $199.53	Professional		$70.79	$125.89	$199.53