Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $239.88	Professional		$144.54	$177.83	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $269.15	Facility		$190.55	$190.55	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $416.87	Professional		$190.55	$295.12	$416.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Professional		$338.84	$338.84	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $389.05	Professional		$239.88	$338.84	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $154.88 / $190.55	Facility		$151.36	$154.88	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $371.54	Professional		$181.97	$269.15	$371.54