Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $173.78	Professional		$112.20	$151.36	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $275.42	Facility		$208.93	$208.93	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $89.13	Professional		$85.11	$85.11	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $346.74	Facility		$141.25	$177.83	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $407.38	Professional		$125.89	$218.78	$407.38