Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $48.98	Professional		$25.12	$33.88	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $77.62	Facility		$37.15	$37.15	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $87.10 / $123.03	Professional		$37.15	$87.10	$123.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Professional		$100.00	$100.00	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $114.82	Professional		$58.88	$100.00	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $39.81 / $46.77	Facility		$38.90	$39.81	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $67.61 / $107.15	Professional		$34.67	$67.61	$107.15