Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $316.23	Professional		$181.97	$239.88	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $489.78	Facility		$295.12	$295.12	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $549.54 / $776.25	Professional		$295.12	$549.54	$776.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $660.69	Professional		$630.96	$630.96	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $724.44	Professional		$371.54	$630.96	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $263.03	Facility		$208.93	$208.93	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $676.08	Professional		$245.47	$426.58	$676.08