Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $281.84	Professional		$199.53	$223.87	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $575.44	Facility		$251.19	$251.19	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $645.65 / $912.01	Professional		$251.19	$645.65	$912.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Professional		$741.31	$741.31	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $851.14	Professional		$436.52	$741.31	$851.14
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 $234.42 / $501.19 / $794.33	Professional		$234.42	$501.19	$794.33