Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.89 / $198.89 / $198.89	Professional		$198.89	$198.89	$198.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.92 / $287.92 / $287.92	Facility		$287.92	$287.92	$287.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Professional		$482.61	$482.61	$482.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $349.23 / $349.23	Professional		$349.23	$349.23	$349.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $349.23 / $349.23	Professional		$349.23	$349.23	$349.23
United Facility/Professional Professional Modifier Low / Median / High Price $132.87 / $250.10 / $414.17	Professional		$132.87	$250.10	$414.17