Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $123.03	Professional		$77.62	$95.50	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $177.83	Facility		$109.65	$109.65	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $281.84	Professional		$109.65	$199.53	$281.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $239.88	Professional		$229.09	$229.09	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $263.03	Professional		$138.04	$229.09	$263.03
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 / $158.49 / $245.47	Professional		$102.33	$158.49	$245.47