Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $51.08 / $51.08	Professional		$51.08	$51.08	$51.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.60 / $167.60 / $167.60	Facility		$167.60	$167.60	$167.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $171.65 / $232.06	Professional		$171.65	$171.65	$232.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $210.96 / $220.90 / $220.90	Professional		$210.96	$220.90	$220.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $210.96 / $295.33	Professional		$147.66	$210.96	$295.33
United Facility/Professional Professional Modifier Low / Median / High Price $138.08 / $197.25 / $232.06	Professional		$138.08	$197.25	$232.06