Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $309.03	Professional		$158.49	$194.98	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $457.09	Professional		$239.88	$323.59	$457.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $426.58	Professional		$218.78	$371.54	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $263.03	Facility		$218.78	$223.87	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $398.11	Professional		$194.98	$275.42	$398.11