Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $148.60 / $148.60	Professional		$148.60	$148.60	$148.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.25 / $232.25 / $232.25	Facility		$232.25	$232.25	$232.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Professional		$252.68	$252.68	$252.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $281.81 / $281.81 / $281.81	Professional		$281.81	$281.81	$281.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.81 / $281.81 / $281.81	Professional		$281.81	$281.81	$281.81
United Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $232.25 / $336.22	Professional		$188.82	$232.25	$336.22