Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $602.56	Professional		$281.84	$389.05	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $758.58	Facility		$467.74	$467.74	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,202.26	Professional		$467.74	$851.14	$1,202.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,023.29	Professional		$977.24	$977.24	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,122.02	Professional		$588.84	$977.24	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $426.58 / $489.78	Facility		$416.87	$426.58	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,071.52	Professional		$363.08	$676.08	$1,071.52