Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $363.08	Professional		$154.88	$229.09	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $309.03	Facility		$295.12	$295.12	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $489.78	Professional		$295.12	$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 $234.42 / $239.88 / $281.84	Facility		$234.42	$239.88	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $426.58	Professional		$208.93	$295.12	$426.58