Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.78 / $682.78 / $682.78	Professional		$682.78	$682.78	$682.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.74 / $1,217.74 / $1,217.74	Facility		$1,217.74	$1,217.74	$1,217.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $816.59 / $1,069.96	Professional		$92.43	$816.59	$1,069.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,669.70 / $2,669.70 / $2,795.50	Professional		$2,669.70	$2,669.70	$2,795.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $207.90 / $207.90	Professional		$207.90	$207.90	$207.90
United Facility/Professional Professional Modifier Low / Median / High Price $448.08 / $843.41 / $1,217.74	Professional		$448.08	$843.41	$1,217.74