Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $53.70	Professional		$25.70	$30.20	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $93.33	Facility		$36.31	$36.31	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $104.71 / $147.91	Professional		$36.31	$104.71	$147.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $138.04	Professional		$70.79	$120.23	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.90 / $45.71	Facility		$38.02	$38.90	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $81.28 / $128.82	Professional		$33.88	$81.28	$128.82