Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $223.87	Professional		$120.23	$173.78	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $478.63	Facility		$288.40	$288.40	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $338.84	Facility		$199.53	$239.88	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $416.87	Professional		$131.83	$302.00	$416.87