Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $354.81	Professional		$194.98	$223.87	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $380.19	Facility		$275.42	$275.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $602.56	Professional		$275.42	$426.58	$602.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Professional		$489.78	$489.78	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $562.34	Professional		$288.40	$489.78	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $309.03	Facility		$257.04	$263.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $524.81	Professional		$229.09	$380.19	$524.81