Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $131.83	Professional		$83.18	$102.33	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $204.17	Facility		$123.03	$123.03	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $323.59	Professional		$123.03	$229.09	$323.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Professional		$263.03	$263.03	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $302.00	Professional		$158.49	$263.03	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Facility		$95.50	$95.50	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $281.84	Professional		$112.20	$177.83	$281.84