Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,258.93	Professional		$794.33	$794.33	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $831.76 / $1,096.48	Professional		$107.15	$831.76	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,862.09	Professional		$1,412.54	$1,479.11	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $588.84 / $1,047.13	Facility		$77.62	$588.84	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,513.56	Professional		$630.96	$933.25	$1,513.56