Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $288.40	Professional		$177.83	$218.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Facility		$234.42	$234.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $512.86	Professional		$234.42	$363.08	$512.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $436.52	Professional		$416.87	$416.87	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $478.63	Professional		$251.19	$416.87	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $234.42	Facility		$186.21	$186.21	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $446.68	Professional		$218.78	$309.03	$446.68