Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $177.83	Professional		$100.00	$134.90	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $407.38	Facility		$165.96	$165.96	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $457.09 / $645.65	Professional		$165.96	$457.09	$645.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Professional		$524.81	$524.81	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $602.56	Professional		$316.23	$524.81	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $147.91	Facility		$114.82	$144.54	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $363.08 / $575.44	Professional		$134.90	$363.08	$575.44