Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $912.01	Professional		$549.54	$676.08	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,513.56	Facility		$707.95	$707.95	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,698.24 / $2,398.83	Professional		$707.95	$1,698.24	$2,398.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,041.74	Professional		$1,949.84	$1,949.84	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,238.72	Professional		$1,174.90	$1,949.84	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $724.44	Facility		$562.34	$707.95	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,318.26 / $2,089.30	Professional		$676.08	$1,318.26	$2,089.30