Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $741.31	Professional		$338.84	$467.74	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $812.83	Facility		$575.44	$575.44	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,288.25	Professional		$575.44	$912.01	$1,288.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Professional		$1,047.13	$1,047.13	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,202.26	Professional		$630.96	$1,047.13	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $524.81 / $602.56	Facility		$501.19	$524.81	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,122.02	Professional		$446.68	$707.95	$1,122.02