Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
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 $223.87 / $223.87 / $346.74	Professional		$223.87	$223.87	$346.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $407.38	Professional		$389.05	$389.05	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $169.82 / $213.80	Facility		$154.88	$169.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $588.84	Professional		$114.82	$229.09	$588.84