Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $346.74	Professional		$218.78	$269.15	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $831.76	Facility		$288.40	$288.40	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $933.25 / $1,318.26	Professional		$288.40	$933.25	$1,318.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,122.02	Professional		$1,071.52	$1,071.52	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,230.27	Professional		$645.65	$1,071.52	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $295.12	Facility		$229.09	$288.40	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $741.31 / $1,174.90	Professional		$275.42	$741.31	$1,174.90