Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,288.25	Professional		$812.83	$812.83	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $602.56 / $1,122.02	Professional		$112.20	$602.56	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,949.84	Professional		$1,445.44	$1,513.56	$1,949.84
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 $81.28 / $616.60 / $1,096.48	Facility		$81.28	$616.60	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,584.89	Professional		$660.69	$954.99	$1,584.89