Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $467.74	Professional		$316.23	$316.23	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $331.13 / $501.19	Professional		$38.02	$331.13	$501.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $851.14	Professional		$630.96	$660.69	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $199.53 / $363.08	Facility		$29.51	$199.53	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $512.86	Professional		$199.53	$380.19	$512.86