Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $123.03	Professional		$75.86	$102.33	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $194.98	Facility		$109.65	$109.65	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $309.03	Professional		$109.65	$218.78	$309.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $263.03	Professional		$251.19	$251.19	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $288.40	Professional		$151.36	$251.19	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $112.20	Facility		$87.10	$109.65	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $269.15	Professional		$102.33	$169.82	$269.15