Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $162.18	Professional		$89.13	$104.71	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $213.80	Facility		$123.03	$123.03	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $338.84	Professional		$123.03	$239.88	$338.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Professional		$275.42	$275.42	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $316.23	Professional		$165.96	$275.42	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $154.88	Facility		$128.82	$131.83	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $302.00	Professional		$114.82	$190.55	$302.00