Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.35 / $135.35 / $135.35	Professional		$135.35	$135.35	$135.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.69 / $195.69 / $195.69	Facility		$195.69	$195.69	$195.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Professional		$302.83	$302.83	$302.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $237.49 / $237.49 / $237.49	Professional		$237.49	$237.49	$237.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.49 / $237.49 / $237.49	Professional		$237.49	$237.49	$237.49
United Facility/Professional Facility Modifier Low / Median / High Price $224.66 / $224.66 / $230.54	Facility		$224.66	$224.66	$230.54
United Facility/Professional Professional Modifier Low / Median / High Price $168.23 / $195.69 / $283.35	Professional		$168.23	$195.69	$283.35