Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $602.56	Professional		$295.12	$389.05	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $977.24	Facility		$467.74	$467.74	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,096.48 / $1,548.82	Professional		$467.74	$1,096.48	$1,548.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Professional		$1,258.93	$1,258.93	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $1,445.44	Professional		$758.58	$1,258.93	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $537.03	Facility		$446.68	$457.09	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $1,348.96	Professional		$398.11	$870.96	$1,348.96