Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $89.13	Professional		$43.65	$52.48	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $204.17	Facility		$66.07	$66.07	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $229.09 / $323.59	Professional		$66.07	$229.09	$323.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Professional		$263.03	$263.03	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $302.00	Professional		$154.88	$263.03	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $69.18 / $79.43	Facility		$66.07	$69.18	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $177.83 / $281.84	Professional		$58.88	$177.83	$281.84