Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $549.54	Professional		$338.84	$416.87	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,047.13	Facility		$512.86	$512.86	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,174.90 / $1,659.59	Professional		$512.86	$1,174.90	$1,659.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,412.54	Professional		$1,348.96	$1,348.96	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $1,548.82	Professional		$812.83	$1,348.96	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $446.68	Facility		$354.81	$354.81	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $912.01 / $1,445.44	Professional		$416.87	$912.01	$1,445.44