Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.19 / $405.19 / $405.19	Professional		$405.19	$405.19	$405.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,183.26 / $1,183.26 / $1,183.26	Facility		$1,183.26	$1,183.26	$1,183.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.11 / $765.11 / $1,638.44	Professional		$765.11	$765.11	$1,638.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,489.49 / $1,559.67 / $1,559.67	Professional		$1,489.49	$1,559.67	$1,559.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.69 / $1,489.49 / $2,085.29	Professional		$893.69	$1,489.49	$2,085.29
United Facility/Professional Professional Modifier Low / Median / High Price $700.62 / $1,183.26 / $1,638.44	Professional		$700.62	$1,183.26	$1,638.44