Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $912.01	Professional		$630.96	$630.96	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $676.08 / $691.83	Professional		$77.62	$676.08	$691.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,584.89	Professional		$1,513.56	$1,584.89	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $416.87 / $741.31	Facility		$54.95	$416.87	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $1,071.52	Professional		$416.87	$758.58	$1,071.52