Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $512.86	Professional		$245.47	$371.54	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $724.44	Facility		$478.63	$478.63	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,122.02	Professional		$478.63	$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 $281.84 / $281.84 / $354.81	Facility		$281.84	$281.84	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $1,000.00	Professional		$331.13	$630.96	$1,000.00