Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $707.95	Professional		$426.58	$549.54	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $794.33	Facility		$630.96	$630.96	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,258.93	Professional		$630.96	$891.25	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,071.52	Professional		$1,023.29	$1,023.29	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,174.90	Professional		$616.60	$1,023.29	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $575.44	Facility		$457.09	$457.09	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,096.48	Professional		$537.03	$758.58	$1,096.48