Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $323.59	Professional		$162.18	$223.87	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $676.08	Facility		$288.40	$288.40	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $758.58 / $1,071.52	Professional		$288.40	$758.58	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $912.01	Professional		$870.96	$870.96	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,000.00	Professional		$524.81	$870.96	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $234.42 / $239.88	Facility		$186.21	$234.42	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $602.56 / $954.99	Professional		$218.78	$602.56	$954.99