Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $891.25	Professional		$562.34	$562.34	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $457.09 / $1,202.26	Professional		$75.86	$457.09	$1,202.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,318.26	Professional		$1,000.00	$1,047.13	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $407.38 / $741.31	Facility		$54.95	$407.38	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,047.13	Professional		$436.52	$676.08	$1,047.13