Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $158.49	Professional		$79.43	$120.23	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $208.93	Facility		$112.20	$112.20	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $331.13	Professional		$112.20	$234.42	$331.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $281.84	Professional		$269.15	$269.15	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $309.03	Professional		$162.18	$269.15	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $114.82	Facility		$89.13	$112.20	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $288.40	Professional		$104.71	$181.97	$288.40