Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $588.84	Professional		$269.15	$371.54	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $812.83	Facility		$457.09	$457.09	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $912.01 / $1,288.25	Professional		$457.09	$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 $407.38 / $416.87 / $489.78	Facility		$407.38	$416.87	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $1,122.02	Professional		$363.08	$724.44	$1,122.02