Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $208.93	Professional		$169.82	$169.82	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $316.23	Professional		$125.89	$154.88	$316.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $398.11	Professional		$316.23	$338.84	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $416.87	Professional		$208.93	$269.15	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $97.72 / $134.90	Facility		$12.88	$97.72	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $251.19 / $316.23	Professional		$112.20	$251.19	$316.23