Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $363.08	Professional		$162.18	$194.98	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $363.08	Facility		$239.88	$239.88	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $575.44	Professional		$239.88	$407.38	$575.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $489.78	Professional		$467.74	$467.74	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $537.03	Professional		$275.42	$467.74	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $251.19 / $295.12	Facility		$245.47	$251.19	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $501.19	Professional		$218.78	$316.23	$501.19