Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $794.33	Professional		$346.74	$501.19	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $933.25	Facility		$501.19	$501.19	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,047.13 / $1,479.11	Professional		$501.19	$1,047.13	$1,479.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,258.93	Professional		$1,202.26	$1,202.26	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,380.38	Professional		$724.44	$1,202.26	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $537.03 / $630.96	Facility		$524.81	$537.03	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,288.25	Professional		$467.74	$812.83	$1,288.25