Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $416.87	Professional		$208.93	$263.03	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $389.05	Facility		$323.59	$323.59	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $616.60	Professional		$323.59	$436.52	$616.60
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 / $575.44	Professional		$295.12	$489.78	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $346.74	Facility		$295.12	$302.00	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $537.03	Professional		$263.03	$389.05	$537.03