Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $109.65	Professional		$56.23	$70.79	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Facility		$102.33	$102.33	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $162.18	Professional		$104.71	$114.82	$162.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $138.04	Professional		$131.83	$131.83	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $151.36	Professional		$79.43	$131.83	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $93.33	Facility		$77.62	$79.43	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $141.25	Professional		$69.18	$97.72	$141.25