Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $169.82	Professional		$114.82	$114.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $223.87	Professional		$114.82	$138.04	$223.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $223.87 / $281.84	Professional		$218.78	$223.87	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $295.12	Professional		$147.91	$173.78	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $75.86 / $123.03	Facility		$10.23	$75.86	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $223.87	Professional		$87.10	$173.78	$223.87