Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $251.19	Professional		$141.25	$181.97	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $309.03	Facility		$194.98	$194.98	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $489.78	Professional		$194.98	$346.74	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $416.87	Professional		$398.11	$398.11	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $457.09	Professional		$239.88	$398.11	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $194.98	Facility		$154.88	$154.88	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $436.52	Professional		$181.97	$288.40	$436.52