Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $239.88	Professional		$131.83	$177.83	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $288.40	Facility		$190.55	$190.55	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $457.09	Professional		$190.55	$323.59	$457.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Professional		$371.54	$371.54	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $426.58	Professional		$223.87	$371.54	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $190.55	Facility		$151.36	$151.36	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $398.11	Professional		$177.83	$251.19	$398.11