Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $309.03	Professional		$186.21	$234.42	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $512.86	Facility		$251.19	$251.19	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $575.44 / $812.83	Professional		$251.19	$575.44	$812.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Professional		$660.69	$660.69	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $758.58	Professional		$398.11	$660.69	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $257.04	Facility		$199.53	$251.19	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $707.95	Professional		$239.88	$457.09	$707.95