Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $204.17	Professional		$128.82	$169.82	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $371.54	Facility		$190.55	$190.55	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $588.84	Professional		$190.55	$416.87	$588.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Professional		$478.63	$478.63	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $549.54	Professional		$288.40	$478.63	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $186.21	Facility		$144.54	$181.97	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $512.86	Professional		$173.78	$323.59	$512.86