Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $173.78	Professional		$117.49	$117.49	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $245.47	Professional		$114.82	$138.04	$245.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $309.03	Professional		$239.88	$245.47	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $323.59	Professional		$162.18	$177.83	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $75.86 / $120.23	Facility		$10.00	$75.86	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $245.47	Professional		$87.10	$181.97	$245.47