Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $407.38	Professional		$190.55	$257.04	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $446.68	Facility		$316.23	$316.23	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $691.83	Professional		$316.23	$489.78	$691.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $588.84	Professional		$562.34	$562.34	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $645.65	Professional		$338.84	$562.34	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $346.74	Facility		$288.40	$295.12	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $616.60	Professional		$257.04	$389.05	$616.60