Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $676.08	Professional		$288.40	$426.58	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $537.03	Facility		$416.87	$416.87	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $851.14	Professional		$416.87	$602.56	$851.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $724.44	Professional		$691.83	$691.83	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $794.33	Professional		$416.87	$691.83	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $524.81	Facility		$446.68	$457.09	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $758.58	Professional		$389.05	$537.03	$758.58