Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $524.81	Professional		$269.15	$363.08	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $562.34	Facility		$389.05	$389.05	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $891.25	Professional		$389.05	$630.96	$891.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $758.58	Professional		$724.44	$724.44	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $831.76	Professional		$436.52	$724.44	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $489.78	Facility		$407.38	$426.58	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $776.25	Professional		$363.08	$512.86	$776.25