Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $245.47	Professional		$151.36	$186.21	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Facility		$199.53	$199.53	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $436.52	Professional		$199.53	$309.03	$436.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Professional		$354.81	$354.81	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $407.38	Professional		$213.80	$354.81	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $158.49 / $199.53	Facility		$154.88	$158.49	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $380.19	Professional		$186.21	$263.03	$380.19