Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $257.04	Professional		$158.49	$213.80	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $575.44	Facility		$229.09	$229.09	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $645.65 / $912.01	Professional		$229.09	$645.65	$912.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Professional		$741.31	$741.31	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $851.14	Professional		$446.68	$741.31	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $234.42	Facility		$181.97	$229.09	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $501.19 / $794.33	Professional		$218.78	$501.19	$794.33