Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $144.54	Professional		$75.86	$109.65	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $234.42	Facility		$144.54	$144.54	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $371.54	Professional		$144.54	$263.03	$371.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Professional		$302.00	$302.00	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $346.74	Professional		$181.97	$302.00	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $109.65	Facility		$85.11	$107.15	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $323.59	Professional		$102.33	$204.17	$323.59