Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $346.74	Professional		$138.04	$218.78	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $316.23	Facility		$263.03	$263.03	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $501.19	Professional		$263.03	$354.81	$501.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $426.58	Professional		$407.38	$407.38	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $467.74	Professional		$245.47	$407.38	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $245.47	Facility		$204.17	$208.93	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $436.52	Professional		$181.97	$281.84	$436.52