Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $691.83	Professional		$436.52	$575.44	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,949.84	Facility		$630.96	$630.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,187.76 / $3,090.30	Professional		$630.96	$2,187.76	$3,090.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,630.27	Professional		$2,511.89	$2,511.89	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $2,884.03	Professional		$1,513.56	$2,511.89	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $630.96 / $645.65	Facility		$501.19	$630.96	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,737.80 / $2,754.23	Professional		$588.84	$1,737.80	$2,754.23