Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $891.25	Professional		$208.93	$245.47	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $707.95	Facility		$263.03	$263.03	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $794.33 / $1,122.02	Professional		$263.03	$794.33	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Professional		$912.01	$912.01	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,047.13	Professional		$549.54	$912.01	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $257.04	Facility		$204.17	$204.17	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $616.60 / $977.24	Professional		$239.88	$616.60	$977.24