Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $194.98	Professional		$91.20	$131.83	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $169.82	Facility		$151.36	$151.36	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $269.15	Professional		$151.36	$190.55	$269.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $229.09	Professional		$218.78	$218.78	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $251.19	Professional		$131.83	$218.78	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $107.15 / $131.83	Facility		$104.71	$107.15	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $239.88	Professional		$125.89	$169.82	$239.88