Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $389.05	Professional		$162.18	$218.78	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $380.19	Facility		$234.42	$234.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $602.56	Professional		$234.42	$426.58	$602.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Professional		$489.78	$489.78	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $562.34	Professional		$295.12	$489.78	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $234.42 / $275.42	Facility		$229.09	$234.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $524.81	Professional		$204.17	$331.13	$524.81