Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $489.78	Professional		$257.04	$338.84	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $691.83	Facility		$380.19	$380.19	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $776.25 / $1,096.48	Professional		$380.19	$776.25	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $912.01	Professional		$870.96	$870.96	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,023.29	Professional		$524.81	$870.96	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $398.11 / $467.74	Facility		$389.05	$398.11	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $954.99	Professional		$346.74	$602.56	$954.99