Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $346.74	Professional		$208.93	$263.03	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $380.19	Facility		$316.23	$316.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $602.56	Professional		$316.23	$426.58	$602.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Professional		$489.78	$489.78	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $562.34	Professional		$295.12	$489.78	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $275.42	Facility		$218.78	$218.78	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $537.03	Professional		$257.04	$371.54	$537.03