Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $234.42	Professional		$147.91	$181.97	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $489.78	Facility		$309.03	$309.03	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $645.65	Professional		$309.03	$457.09	$645.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Professional		$524.81	$524.81	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $602.56	Professional		$363.08	$524.81	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $263.03	Facility		$208.93	$213.80	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $467.74 / $562.34	Professional		$75.86	$467.74	$562.34