Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $151.36	Professional		$69.18	$95.50	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $218.78	Facility		$112.20	$112.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $346.74	Professional		$112.20	$245.47	$346.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $295.12	Professional		$281.84	$281.84	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $323.59	Professional		$169.82	$281.84	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $107.15 / $125.89	Facility		$104.71	$107.15	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $302.00	Professional		$93.33	$190.55	$302.00