Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $288.40	Professional		$112.20	$158.49	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Facility		$162.18	$162.18	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $316.23	Professional		$162.18	$223.87	$316.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $269.15	Professional		$257.04	$257.04	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $295.12	Professional		$154.88	$257.04	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $173.78 / $204.17	Facility		$169.82	$173.78	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $288.40	Professional		$151.36	$199.53	$288.40