Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $588.84	Professional		$467.74	$467.74	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $331.13 / $537.03	Professional		$36.31	$331.13	$537.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,122.02	Professional		$1,071.52	$1,122.02	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $218.78 / $398.11	Facility		$27.54	$218.78	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $616.60	Professional		$218.78	$416.87	$616.60