Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $288.40	Professional		$151.36	$181.97	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $363.08	Facility		$218.78	$218.78	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $562.34	Professional		$218.78	$398.11	$562.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $478.63	Professional		$457.09	$457.09	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $524.81	Professional		$275.42	$457.09	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $251.19	Facility		$208.93	$213.80	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $501.19	Professional		$186.21	$316.23	$501.19