Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $575.44	Professional		$263.03	$371.54	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $602.56	Facility		$457.09	$457.09	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $954.99	Professional		$457.09	$676.08	$954.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $776.25 / $891.25	Professional		$457.09	$776.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $478.63	Facility		$398.11	$407.38	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $831.76	Professional		$354.81	$524.81	$831.76