Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $218.78	Professional		$87.10	$141.25	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $257.04	Facility		$169.82	$169.82	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $407.38	Professional		$169.82	$288.40	$407.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $346.74	Professional		$331.13	$331.13	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $380.19	Professional		$199.53	$331.13	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $138.04 / $158.49	Facility		$134.90	$138.04	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $354.81	Professional		$117.49	$223.87	$354.81