Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $537.03	Professional		$275.42	$371.54	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $933.25	Facility		$416.87	$416.87	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,047.13 / $1,479.11	Professional		$416.87	$1,047.13	$1,479.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,230.27	Professional		$1,174.90	$1,174.90	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $1,380.38	Professional		$707.95	$1,174.90	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $501.19	Facility		$416.87	$436.52	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $1,288.25	Professional		$371.54	$812.83	$1,288.25