Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $602.56	Professional		$398.11	$446.68	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $870.96	Facility		$575.44	$575.44	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,380.38	Professional		$575.44	$977.24	$1,380.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,174.90	Professional		$1,122.02	$1,122.02	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,288.25	Professional		$660.69	$1,122.02	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $512.86	Facility		$398.11	$407.38	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,202.26	Professional		$478.63	$870.96	$1,202.26