Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $199.53	Professional		$125.89	$151.36	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $426.58	Facility		$165.96	$165.96	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $478.63 / $676.08	Professional		$165.96	$478.63	$676.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Professional		$549.54	$549.54	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $630.96	Professional		$331.13	$549.54	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $169.82	Facility		$131.83	$165.96	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $380.19 / $588.84	Professional		$154.88	$380.19	$588.84