Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $338.84	Professional		$144.54	$213.80	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $281.84	Facility		$245.47	$245.47	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $446.68	Professional		$245.47	$316.23	$446.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $380.19	Professional		$363.08	$363.08	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $416.87	Professional		$218.78	$363.08	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $229.09 / $263.03	Facility		$223.87	$229.09	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $389.05	Professional		$194.98	$281.84	$389.05