Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,230.27	Professional		$616.60	$933.25	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,513.56	Facility		$891.25	$891.25	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $2,398.83	Professional		$891.25	$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 $707.95 / $891.25 / $912.01	Facility		$707.95	$891.25	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,089.30	Professional		$831.76	$1,318.26	$2,089.30