Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $158.49	Professional		$93.33	$117.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $537.03	Facility		$134.90	$134.90	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $602.56 / $851.14	Professional		$134.90	$602.56	$851.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $724.44	Professional		$691.83	$691.83	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $794.33	Professional		$416.87	$691.83	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Facility		$107.15	$107.15	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $478.63 / $741.31	Professional		$125.89	$478.63	$741.31