Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $107.15	Professional		$46.77	$64.57	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $162.18	Facility		$69.18	$69.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $181.97 / $257.04	Professional		$69.18	$181.97	$257.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $218.78	Professional		$208.93	$208.93	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $239.88	Professional		$125.89	$208.93	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $74.13 / $87.10	Facility		$72.44	$74.13	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $141.25 / $223.87	Professional		$64.57	$141.25	$223.87