Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $616.60	Professional		$363.08	$467.74	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,000.00	Facility		$512.86	$512.86	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,122.02 / $1,584.89	Professional		$512.86	$1,122.02	$1,584.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,348.96	Professional		$1,288.25	$1,288.25	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,479.11	Professional		$776.25	$1,288.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $501.19	Facility		$398.11	$407.38	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,380.38	Professional		$478.63	$870.96	$1,380.38