Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $389.05	Professional		$194.98	$263.03	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $501.19	Facility		$295.12	$295.12	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $794.33	Professional		$295.12	$562.34	$794.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $676.08	Professional		$645.65	$645.65	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $741.31	Professional		$389.05	$645.65	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $275.42	Facility		$213.80	$269.15	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $707.95	Professional		$257.04	$446.68	$707.95