Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,318.26	Professional		$794.33	$794.33	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $851.14 / $1,000.00	Professional		$109.65	$851.14	$1,000.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,778.28	Professional		$1,698.24	$1,778.28	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $524.81 / $954.99	Facility		$70.79	$524.81	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $977.24 / $1,348.96	Professional		$524.81	$977.24	$1,348.96