Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $645.65	Professional		$251.19	$398.11	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $562.34	Facility		$489.78	$489.78	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $891.25	Professional		$489.78	$630.96	$891.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $758.58	Professional		$724.44	$724.44	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $831.76	Professional		$426.58	$724.44	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $457.09	Facility		$380.19	$389.05	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $776.25	Professional		$338.84	$489.78	$776.25