Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $616.60	Professional		$263.03	$323.59	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $549.54	Facility		$380.19	$380.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $870.96	Professional		$380.19	$616.60	$870.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $741.31	Professional		$707.95	$707.95	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $812.83	Professional		$416.87	$707.95	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $478.63	Facility		$398.11	$407.38	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $758.58	Professional		$354.81	$501.19	$758.58