Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $831.76 / $1,318.26	Professional		$67.61	$831.76	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $2,041.74	Professional		$120.23	$125.89	$2,041.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,041.74	Professional		$1,621.81	$1,621.81	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,905.46	Professional		$1,148.15	$1,621.81	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $81.28 / $109.65	Facility		$57.54	$81.28	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $575.44 / $1,778.28	Professional		$114.82	$575.44	$1,778.28