Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $323.59	Professional		$173.78	$208.93	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $758.58	Facility		$251.19	$251.19	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $851.14 / $1,202.26	Professional		$251.19	$851.14	$1,202.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,023.29	Professional		$977.24	$977.24	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,122.02	Professional		$588.84	$977.24	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $257.04	Facility		$199.53	$251.19	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $660.69 / $1,047.13	Professional		$234.42	$660.69	$1,047.13