Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $616.60	Professional		$363.08	$501.19	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $954.99	Facility		$758.58	$758.58	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,445.44	Professional		$758.58	$1,023.29	$1,445.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,230.27	Professional		$1,174.90	$1,174.90	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,348.96	Professional		$812.83	$1,174.90	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $691.83	Facility		$549.54	$562.34	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $954.99 / $1,258.93	Professional		$199.53	$954.99	$1,258.93