Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $194.98	Professional		$138.04	$151.36	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $354.81	Facility		$173.78	$173.78	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $398.11 / $562.34	Professional		$173.78	$398.11	$562.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $478.63	Professional		$457.09	$457.09	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $524.81	Professional		$275.42	$457.09	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $177.83	Facility		$138.04	$173.78	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $501.19	Professional		$162.18	$316.23	$501.19