Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $245.47	Professional		$158.49	$158.49	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $173.78 / $194.98	Professional		$19.95	$173.78	$194.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $389.05	Professional		$371.54	$389.05	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $190.55	Professional		$18.20	$18.20	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $102.33 / $186.21	Facility		$14.45	$102.33	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $263.03	Professional		$102.33	$194.98	$263.03