Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $338.84	Professional		$199.53	$251.19	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $616.60	Facility		$275.42	$275.42	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $691.83 / $977.24	Professional		$275.42	$691.83	$977.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $831.76	Professional		$794.33	$794.33	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $912.01	Professional		$478.63	$794.33	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $263.03	Facility		$204.17	$257.04	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $549.54 / $851.14	Professional		$239.88	$549.54	$851.14