Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $371.54	Professional		$165.96	$234.42	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $467.74	Facility		$302.00	$302.00	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $741.31	Professional		$302.00	$524.81	$741.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $630.96	Professional		$602.56	$602.56	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $691.83	Professional		$354.81	$602.56	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $257.04 / $302.00	Facility		$251.19	$257.04	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $645.65	Professional		$223.87	$407.38	$645.65